PROVIDENCE ST JOSEPH MEDICAL CENTER (NPI# 1548394836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548394836 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE ST JOSEPH MEDICAL CENTER |
| Other Organization Name | PROV ST JOSEPH MED CTR |
| Practice Address |
6 13th Ave E Polson MT 59860-5315 |
| Mailing Address |
Po Box 1010 Polson MT 59860-1010 |
| Practice Telephone | 4068835377 |
| Mailing Telephone | 4068835377 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2011-06-22 |
| Authorized Official Name | MR. BRUCE WHITFIELD (CFO WESTERN MONTANA REGION) |
| Authorized Official Telephone | 4063295868 |
| Is Organization Subpart | Y |
| Parent Organization Name | PROVIDENCE HEALTH & SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Prov St Joseph Med Ctr | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730417452 | Providence St Joseph Medical Center | Clinic/Center | 63351 Us Highway 93 S, Ronan, MT 59864-2702 | 2009-11-19 |
| 1285796920 | Providence St Joseph Medical Center | Assisted Living Facility | 11 17th Ave E, Polson, MT 59860-4083 | 2006-12-15 |
| 1609104165 | Providence St Joseph Medical Center | Clinic/Center | 6 13th Ave E, Polson, MT 59860-5315 | 2009-11-20 |
| 1669655528 | Providence St Joseph Medical Center | Family Medicine | 6 13th Ave E, Polson, MT 59860-5315 | 2007-12-13 |
| 1992853881 | Providence St Joseph Medical Center | General Acute Care Hospital | 6 13th Ave E, Polson, MT 59860-5315 | 2007-01-08 |
| 1821184888 | Providence St Joseph Medical Center | General Acute Care Hospital | 6 13th Ave E, Polson, MT 59860-5315 | 2006-10-05 |
| Street Address |
6 13TH AVE E |
| City | POLSON |
| State | MT |
| Zip Code | 59860-5315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588669576 | Kenneth L. Galewyrick | Emergency Medicine | 6 13th Ave E, Polson, MT 59860-5315 | 2005-06-16 |
| 1982227443 | Sarah Elizabeth Anderson | Pharmacist | 6 13th Ave E, Polson, MT 59860-5315 | 2020-05-19 |
| 1932601796 | Elizabeth Nicole Bassler | Social Worker | 6 13th Ave E, Polson, MT 59860-5315 | 2018-03-07 |
| 1437661113 | Paige J Stone | Pharmacist | 6 13th Ave E, Polson, MT 59860-5315 | 2017-11-02 |
| 1992230239 | Corey Gaul | Emergency Medicine | 6 13th Ave E, Polson, MT 59860-5315 | 2017-04-24 |
| 1235679796 | Shana Eaglefeathers | Family Medicine | 6 13th Ave E, Polson, MT 59860-5315 | 2017-03-03 |
| 1306296249 | Susan Weaselhead | Counselor | 6 13th Ave E, Polson, MT 59860-5315 | 2016-06-21 |
| 1194191569 | Clint Tjelmeland | Pharmacist | 6 13th Ave E, Polson, MT 59860-5315 | 2015-08-19 |
| 1134501117 | Maria Mcneil Williams | Nurse Practitioner | 6 13th Ave E, Polson, MT 59860-5315 | 2015-06-25 |
| 1831581669 | Angelia Relph | Nurse Anesthetist, Certified Registered | 6 13th Ave E, Polson, MT 59860-5315 | 2015-03-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679095020 | Ashley J Gilham | Registered Nurse | #5 4th Ave E., Polson, MT 59860 | 2017-07-07 |
| 1225585532 | St. Luke Community Hospital | Clinic/Center | 107 Ridgewater Dr., Polson, MT 59860 | 2016-09-02 |
| 1306202163 | Western Montana Mental Health Center | Community Based Residential Treatment Facility, Mental Illness | 7 13th Ave East, Polson, MT 59860 | 2016-01-11 |
| 1154730364 | Wanda L King | Dietitian, Registered | 6 Thirteenth Avenue East, Poslon, MT 59860 | 2014-08-13 |
| 1104255637 | Dacia Lee Antiste-fisher | Counselor | #5 4th Ave. E., Polson, MT 59860 | 2013-11-05 |
| 1154758134 | Richard Pierre | Pharmacy Technician | 5 4th Ave E., Polson, MT 59860 | 2013-10-04 |
| 1154755197 | Wal-mart Stores, Inc | Durable Medical Equipment & Medical Supplies | 36318 Memory Lane, Polson, MT 59860 | 2013-08-27 |
| 1245582022 | Catherine D Addison | Registered Nurse | 5 4th Ave. East, Polson, MT 59860 | 2012-10-04 |
| 1114220787 | Erika Ann Weber | Social Worker | #5 4th Ave. E, Polson, MT 59860 | 2010-12-21 |
| 1942431473 | Lisa L. Scalpane | Counselor | 803 Main Street, Suite C, Polson, MT 59860 | 2009-07-31 |
| Find all providers in zip 59860 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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| 1629424643 | Northwest Nutrition Consultation | Clinic/Center | 140 Cyclone Dr, Kalispell, MT 59901-7163 | 2016-05-09 |
| 1568808962 | Scott R. Pargot Do, Inc. | Clinic/Center | 3116 Saddle Dr Ste 4, Helena, MT 59601-8645 | 2013-05-13 |
| 1770724874 | Dr. Beverly L. Braak, P.C. | Clinic/Center | 2831 Fort Missoula Rd Bldg 2, Suite 203, Missoula, MT 59804-7419 | 2009-03-19 |
| 1811169915 | Whitefish Chiropractic Center PC | Clinic/Center | 5938 Hwy 93 S, Whitefish, MT 59937-8415 | 2008-03-28 |
| 1659557130 | Medical Weight Management Inc. | Clinic/Center | 25 S Ewing St Ste 521, Helena, MT 59601-5753 | 2008-01-15 |
| 1588871024 | Eve M Gerasimou,md LLC | Clinic/Center | 1417 9th St S Ste 302, Great Falls, MT 59405-4509 | 2007-05-16 |
| 1750453163 | Allergy & Asthma Center, PC | Clinic/Center | 95 Indian Trail Rd, Kalispell, MT 59901-2613 | 2006-11-14 |
| 1689693566 | Morledge Family Eye Clinic | Clinic/Center | 2520 17th St W, Billings, MT 59102-1738 | 2006-07-19 |
| 1215968185 | St. Vincent Healthcare | Clinic/Center | 90 Poly Dr, Billings, MT 59101-0142 | 2006-07-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.