Organization
PROVIDENCE HEALTH & SERVICES MT
Active
Parent organization
PROVIDENCE HEALTH & SERVICES
Other names
St Patrick Hospital Psych
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROVIDENCE HEALTH & SERVICES
Authorized official
DONALD WAYNE ANDERSON JR. (ASSISTANT SECRETARY ENROLLMENTS)
(425) 358-9786
Entity
Organization
Contact information
Practice address
902 N ORANGE ST, MISSOULA, MT 59802-2928
(406) 542-7271
(406) 329-5877
Mailing address
PO BOX 3974, SEATTLE, WA 98124-3974
(406) 542-7271
(406) 329-5877
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
10606
MT
Other
Enumeration date
10/18/2006
Last updated
05/05/2025
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