Providence Surgery Center
Providence Surgery Center is an Ambulatory Surgical Clinic/Center in Missoula, Montana. Licensed in Montana. Registered with an NPI since 2006.
- Licensed in
- MT
- In the registry since
- 2006
Practice location Address checks out
902 N Orange StMissoula, MT 59802-2916
Phone: (406) 327-3300
Fax: (406) 327-3302
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ambulatory Surgical Clinic/Center (primary) | Taxonomy 261QA1903X · Licence 10708 (MT) |
|---|
Record details
| NPI number | 1407860745 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shelley Longgood — Administrator · (406) 327-3300 |
| NPI enumerated | July 29, 2006 |
| Last updated in NPPES | December 31, 2024 |
| Certification date | December 31, 2024 |
| Mailing address | 902 N Orange St, Missoula, MT 59802-2916 |
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