PROVIDENCE HEALTH & SERVICES MT

MISSOULA, MT
NPI1497868335
Doing Business AsSPH ER PHYSICIANS
Entity TypeOrganization
Authorized ContactDONALD J ANDERSON
Dir Reimb Reg Strat/Asst Sec Enroll
425-525-5392
Organization Subpart ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: MT  10606)
Enumeration Date2006-08-16
Last Update Date2021-07-09
Business Address
PROVIDENCE HEALTH & SERVICES MT
500 W. BROADWAY
MISSOULA, MT 59802-4008
Phone number: 406-543-7271
Mailing Address
PROVIDENCE HEALTH & SERVICES MT
PO BOX 12 PROVIDENCE HEALTH & SERVICES MT
LIBERTY LAKE, WA 99019-0012
Phone number: 406-543-7271