PROVIDENCE ST JOSEPH MEDICAL CENTER (NPI# 1730417452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730417452 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE ST JOSEPH MEDICAL CENTER |
| Other Organization Name | PROV ST JOSEPH MED CTR RONAN |
| Practice Address |
63351 Us Highway 93 S Ronan MT 59864-2702 |
| Mailing Address |
Po Box 1010 Polson MT 59860-1010 |
| Practice Telephone | 4066765680 |
| Practice Fax Number | 4066765690 |
| Mailing Telephone | 4068838913 |
| Mailing Fax Number | 4068838926 |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2013-05-13 |
| 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 | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Prov St Joseph Med Ctr Ronan | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1548394836 | Providence St Joseph Medical Center | Clinic/Center | 6 13th Ave E, Polson, MT 59860-5315 | 2007-03-16 |
| 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 |
63351 US HIGHWAY 93 S |
| City | RONAN |
| State | MT |
| Zip Code | 59864-2702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437676566 | Kristin A. Murphy | Registered Nurse | 35860 Round Butte Rd., Ronan, MT 59864 | 2017-08-29 |
| 1477906725 | Richard A Greene IIi | Counselor | 407 Main St Sw, Ronan, MT 59864 | 2016-07-21 |
| 1134592942 | Sancee Leigh Heaton | Massage Therapist | 41064 Us Hwy93 Frontage Rd, Ronan, MT 59864 | 2015-11-03 |
| 1700160033 | Rosemary Epperson | Social Worker | 1313 Us-93, Ronan, MT 59864 | 2011-10-05 |
| 1700109790 | Cyndi Lu Marengo | Dental Hygienist | 380 Mission Drive, St. Ignatius, MT 59864 | 2010-03-05 |
| 1841335973 | Katherine Stacy Kiser | Counselor | 530 Highway 93 South, Ronan, MT 59864 | 2007-02-20 |
| 1376682351 | Stanley Houston Fleming | Counselor | 30 Round Butte Road West, Ronan, MT 59864 | 2007-02-06 |
| 1255477907 | Vanessa Anne Courville | Registered Nurse | 28 Round Butte Rd, Ronan, MT 59864 | 2007-01-29 |
| 1114074903 | Robert Duane Gerrie | Surgery | # 6 Thirteenth Ave. E., Polson, MT 59864 | 2007-01-04 |
| 1740341189 | Eleanore R Hobbs | Psychiatry & Neurology | 126 6th Ave. Sw, St. Luke Community Clinci Ronan, Ronan, MT 59864 | 2006-12-12 |
| Find all providers in zip 59864 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730434309 | Stillwater Hospital Association, Inc. | Clinic/Center | 710 N. 11th St., Box 959, Columbus, MT 59019-0959 | 2012-07-19 |
| 1265605398 | Eastern Montana Health Company | Clinic/Center | 507 North Lincoln Ave, Box 489, Broadus, MT 59317-0489 | 2008-04-09 |
| 1073781548 | Great Falls Clinic | Clinic/Center | 124 Main Avenue North, Choteau, MT 59422-9410 | 2008-02-18 |
| 1205038379 | Phillips County Hospital Assn | Clinic/Center | 315 Sth 8th Ave E, Malta, MT 59538 | 2007-06-01 |
| 1942321120 | Granite County Hospital District | Clinic/Center | 26 East Broad St, Drummond, MT 59832-0312 | 2007-04-03 |
| 1851425789 | Three Rivers Clinic LLC | Clinic/Center | 16 Railway Ave, Three Forks, MT 59752-1078 | 2007-03-15 |
| 1750459632 | Daniels Memorial Hospital | Clinic/Center | 105 5th Ave. East, Scobey, MT 59263 | 2006-12-01 |
| 1003984097 | Liberty County Hospital and Nursing Home, Inc | Clinic/Center | 418 West Monroe Avenue, Chester, MT 59522-0506 | 2006-11-30 |
| 1730252883 | Sidney Health Center | Clinic/Center | 304 S Ellery, Fairview, MT 59221 | 2006-11-16 |
| 1790869535 | Pondera Medical Center Rural Health Clinic | Clinic/Center | 805 Sunset Blvd., Conrad, MT 59425-0758 | 2006-10-25 |
| 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.