| Organization Name: | PROVIDENCE ST JOSEPH MEDICAL CENTER |
| NPI Number: | 1730417452 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRUCE WHITFIELD (CFO WESTERN MONTANA REGION) |
| Mailing Address: | 63351 Us Highway 93 S Ronan |
| State: | MT US |
| Postal Code: | 598642702 |
| Phone Number: | 4066765680 |
| Fax Number: | 4066765690 |
| NPI Enumeration Date: | 11/19/2009 |
| NPI Last Update Date: | 05/13/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |