PROVIDENCE HEALTH & SERVICES MT

MISSOULA, MT
NPI1790931517
Entity TypeOrganization
Authorized ContactDONALD W ANDERSON
Assistant Secretary Enrollment
425-358-9786
Organization Subpart ?Yes
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2008-08-12
Last Update Date2025-05-07
Business Address
PROVIDENCE HEALTH & SERVICES MT
3075 N RESERVE ST SUITE Q
MISSOULA, MT 59808-1390
Phone number: 406-327-1850
Mailing Address
PROVIDENCE HEALTH & SERVICES MT
PO BOX 31001 - 4114
PASADENA, CA 91110-4114
Phone number:
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