PROVIDENCE SURGERY CENTER is an ambulatory surgical clinic center in Missoula, MT. PROVIDENCE SURGERY CENTER NPI is 1407860745. The provider is registered as an organization entity type.
The provider's business location address is:
902 N ORANGE ST
MISSOULA, MT
ZIP 59802-916
Phone: (406) 327-3300
Fax: (406) 327-3302
The provider's authorized official is Nancy Howery Shooshtari .
The authorized official title is Ceo and has the following contact phone number (406) 327-3301.
The CLIA number assigned to this NPI record is 27D0934160 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/29/2006 and was last updated on 6/26/2014.