PROVIDENCE HEALTH & SERVICES MT

BUTTE, MT
NPI1538394267
Other NamePMG MT IHI BUTTE
Entity TypeOrganization
Authorized ContactDONALD WAYNE ANDERSON
Asst Sec Enrollment/Dir Reimb Admin
425-525-5392
Organization Subpart ?Yes
Primary Taxonomy207RC0000X Internal Medicine Cardiovascular Disease
Enumeration Date2009-05-26
Last Update Date2019-04-24
Business Address
PROVIDENCE HEALTH & SERVICES MT
435 S CRYSTAL ST STE 240
BUTTE, MT 59701-1523
Phone number: 406-496-3602
Mailing Address
PROVIDENCE HEALTH & SERVICES MT
PO BOX 12
LIBERTY LAKE, WA 99019-0012
Phone number: 866-747-2455