Providence Health & Services Mt

Practice location

Address

500 W Broadway St, Missoula, MT 59802-4008

Phone

(406) 543-7271

Mailing address

PO Box 12, Liberty Lake, WA 99019-0012

Authorised official

Name

Donald W Anderson

Title

Assistant Secretary Enrollments

Phone

(425) 358-9786

Registered specialties

Registry record

NPI

1174074827

Entity type

Organization

NPI issued

18 Oct 2016

Record last updated

5 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.