Organization
PROVIDENCE ST JOSEPH MEDICAL CENTER
Active
Parent organization
PROVIDENCE HEALTH & SERVICES
Other names
Providence St Joseph Medical Center, Prov St Joseph Med Ctr SWB
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROVIDENCE HEALTH & SERVICES
Authorized official
DONALD W ANDERSON JR. (ASSISTANT SECRETARY ENROLLMENT)
(425) 358-9786
Entity
Organization
Contact information
Practice address
6 13TH AVE E, POLSON, MT 59860-5315
(406) 883-5377
(406) 883-8488
Mailing address
PO BOX 31001-4110, PASADENA, CA 91110-4110
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
—
—
282NC0060X
Critical Access Hospital
Primary
12513
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27Z343
PTAN
MT
Enumeration date
01/08/2007
Last updated
05/07/2025
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