PROVIDENCE HEALTH & SERVICES MT

MISSOULA, MT
NPI1144538505
Entity TypeOrganization
Authorized ContactDONALD WAYNE ANDERSON
Assistant Secretary Enrollment
425-358-9786
Organization Subpart ?Yes
Primary Taxonomy207RC0000X Internal Medicine Cardiovascular Disease
Enumeration Date2010-09-20
Last Update Date2025-05-06
Business Address
PROVIDENCE HEALTH & SERVICES MT
500 W BROADWAY ST SUITE 320
MISSOULA, MT 59802-4031
Phone number: 406-329-5615
Mailing Address
PROVIDENCE HEALTH & SERVICES MT
PO BOX 31001 - 4114
PASADENA, CA 91110-4114
Phone number: