| NPI | 1023397692 |
|---|---|
| Doing Business As | ST. VINCENT PHYSICIAN NETWORK, BROADWATER |
| Entity Type | Organization |
| Authorized Contact | JASON L BARKER President/CEO 406-237-3071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MT 12129) |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2011-11-17 |