Organization · Type 2 NPI

Providence ST Joseph Medical Center

Family Medicine Physician · Polson, MT

NPI number 1669655528 Active

Practice location

6 13th Ave E
Polson, MT 59860-5315

Call (406) 883-5377 Map

Mailing address

PO Box 31001-4110
Pasadena, CA 91110-4110

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

70 other providers at this address

Other family medicine physician providers in Polson

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NPI record

NPI: 1669655528
Entity type: Organization (Type 2)
Issued: Dec 13, 2007
Last updated: Apr 5, 2025
Status: Active

Other names

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Prov ST Joseph Med CTR · doing business as
Prov ST Joseph Med CTR · doing business as

Authorized official

Donald Wayne Anderson
Assistnat Secretary Enrollment
(425) 359-9786

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1669655528

Providence ST Joseph Medical Center's National Provider Identifier is 1669655528, issued on Dec 13, 2007. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Polson, MT. The record was last updated on Apr 5, 2025.