PROVIDENCE ST JOSEPH MEDICAL CENTER NPI 1285796920

NPI Information

PROVIDENCE ST JOSEPH MEDICAL CENTER is an assisted living facility in Polson, MT. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. PROVIDENCE ST JOSEPH MEDICAL CENTER NPI is 1285796920. The provider is registered as an organization entity type.
The provider Is Doing Business As Prov St Joseph Med Ctr Rc.

The provider's business location address is:

11 17TH AVE E
POLSON, MT
ZIP 59860-083
Phone: (406) 883-1011

The provider's authorized official is Bruce Whitfield .
The authorized official title is Cfo Western Montana Region and has the following contact phone number (406) 329-5868.

The enumeration date for this NPI number is 12/15/2006 and was last updated on 6/22/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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