Provider Type Icon

PROVIDENCE ST JOSEPH MEDICAL CENTER NPI 1669655528


NPI Information

NPI: 1669655528
Provider Name: PROVIDENCE ST JOSEPH MEDICAL CENTER

Doing Business As: PROV ST JOSEPH MED CTR

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 27D0042192

Address:
6 13TH AVE E
POLSON, MT
ZIP 59860
Phone: (406) 883-5377
Get Directions

PROVIDENCE ST JOSEPH MEDICAL CENTER is a family medicine in Polson, MT. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PROVIDENCE ST JOSEPH MEDICAL CENTER NPI is 1669655528. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Prov St Joseph Med Ctr.

The provider's business location address is:

6 13TH AVE E
POLSON, MT
ZIP 59860-315
Phone: (406) 883-5377

The provider's authorized official is Donald Wayne Anderson .
The authorized official title is Asst Sec For Enrollment/dir Reimb S and has the following contact phone number (425) 525-5392.

The CLIA number assigned to this NPI record is 27D0042192 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 12/13/2007 and was last updated on 2/12/2021.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.