Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Providence St Joseph Medical Center

Organization Family Medicine Physician · NPI 1669655528

Providence St Joseph Medical Center is a Family Medicine Physician in Polson, Montana. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

6 13th Ave E
Polson, MT 59860-5315
Phone: (406) 883-5377
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1669655528
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistnat Secretary Enrollment · (425) 359-9786
Other names Prov St Joseph Med Ctr; Prov St Joseph Med Ctr
NPI enumeratedDecember 13, 2007
Last updated in NPPESApril 5, 2025
Certification dateApril 5, 2025
Mailing addressPo Box 31001-4110, Pasadena, CA 91110-4110

Other providers in Polson