NPI 1619058302
Providence Health & Services Mt
Practice location
- Address
- 902 N Orange St, Missoula, MT 59802-2928
- Phone
- (406) 542-7271
- Fax
- (406) 329-5877
- Mailing address
- PO Box 3974, Seattle, WA 98124-3974
Authorised official
- Name
- Donald Wayne Anderson
- Title
- Assistant Secretary Enrollments
- Phone
- (425) 358-9786
Registered specialties
Psychiatric Hospital Unit
Primary
Registry record
- NPI
- 1619058302
- Entity type
- Organization
- NPI issued
- 18 Oct 2006
- 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.