| NPI | 1609104165 |
|---|---|
| Doing Business As | PROV ST JOSEPH MED CTR POLSON |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Asst Sec For Enrollment/Dir Reimb S 425-525-5392 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2009-11-20 |
| Last Update Date | 2021-10-29 |