NPI 1770815276

Providence Health & Services Mt

Organisation Skilled Nursing Facility Missoula, MT

Practice location

Address: 500 W Broadway St, Missoula, MT 59802-4096
Phone: (406) 329-7870
Fax: (406) 329-7871
Mailing address: PO Box 31001 - 4114, Pasadena, CA 91110-4114

Authorised official

Name: Donald Wayne Anderson
Title: Assistant Secretary Enrollments
Phone: (425) 358-9786

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X

Other Skilled Nursing Facility providers in Montana →

Registry record

NPI: 1770815276
Entity type: Organization
NPI issued: 8 Feb 2010
Record last updated: 7 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.