NPI 1053613356
Providence Health & Services Mt
Practice location
- Address
- 715 Main Street STE a, Stevensville, MT 59870-2861
- Phone
- (406) 777-5522
- Fax
- (406) 541-7001
- Mailing address
- PO Box 31001 - 4114, Pasadena, CA 91110-4114
Authorised official
- Name
- Donald Wayne Anderson
- Title
- Assistant Secretary Enrollment
- Phone
- (425) 358-9786
Registered specialties
General Acute Care Hospital
Primary
Registry record
- NPI
- 1053613356
- Entity type
- Organization
- NPI issued
- 19 Nov 2010
- Record last updated
- 6 May 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.