PROVIDENCE ST JOSEPH MEDICAL CENTER (NPI# 1285796920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285796920 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE ST JOSEPH MEDICAL CENTER |
| Other Organization Name | PROV ST JOSEPH MED CTR RC |
| Practice Address |
11 17th Ave E Polson MT 59860-4083 |
| Mailing Address |
Po Box 1010 Polson MT 59860-1010 |
| Practice Telephone | 4068831011 |
| Mailing Telephone | 4068831011 |
| Enumeration Date | 2006-12-15 |
| 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 | 310400000X | Assisted Living Facility | 10123 | MT | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 810628 | 05 |
| Other Name | Type Code |
|---|---|
| Prov St Joseph Med Ctr RC | 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 |
| 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 |
11 17TH AVE E |
| City | POLSON |
| State | MT |
| Zip Code | 59860-4083 |
| 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 | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548551468 | Paladin Enterprises, Inc. | Assisted Living Facility | 1303 Rivendell Ct, Polson, MT 59860-3368 | 2011-04-26 |
| 1750684817 | The Pines of Polson, Inc | Assisted Living Facility | 405 6th Ave W, Polson, MT 59860-2650 | 2010-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689274185 | Primrose Inc | Assisted Living Facility | 1349 Lake Elmo Dr, Billings, MT 59105-1759 | 2020-10-26 |
| 1619594991 | The Legacy Assisted Living LLC | Assisted Living Facility | 624 Ptarmigan Ln, Helena, MT 59602-0557 | 2020-07-02 |
| 1487270054 | Echoview Assisted Living, LLC | Assisted Living Facility | 1373 Whitefish Stage, Kalispell, MT 59901-2747 | 2020-06-19 |
| 1992336549 | Heartland Life, LLC | Assisted Living Facility | 8874 Us Highway 212, Roberts, MT 59070-9638 | 2020-02-03 |
| 1013548759 | J&j Caregivers, LLC | Assisted Living Facility | 1839 Venus Cir, Billings, MT 59105-3811 | 2020-01-31 |
| 1477108397 | The Legacy Assisted Living LLC | Assisted Living Facility | 810 Wicks Ln, Billings, MT 59105-4426 | 2019-08-07 |
| 1013475011 | Pendelton House Assisted Living | Assisted Living Facility | 220 N Ceneter Ave, Miles City, MT 59301 | 2019-03-08 |
| 1780153700 | Hidden Meadow Management LLC | Assisted Living Facility | 240 Hidden Meadow Ln, Columbia Falls, MT 59912-8967 | 2018-11-20 |
| 1497220347 | Montana Quality Living, LLC | Assisted Living Facility | 205 N Wisconsin St, Conrad, MT 59425-1600 | 2018-10-08 |
| 1225511231 | Kris Miller | Assisted Living Facility | 12 Bessler Rd, Montana City, MT 59634-9664 | 2018-09-14 |
| 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.