PH
PROVIDENCE HEALTH & SERVICES MT
Skilled Nursing Facility
OIG CLEARNPI VERIFIED
Location
MISSOULA, MT
Licensed since
2010
Rate
—
Federal identifiers
NPI registry number1770815276
Agency details
Parent orgPROVIDENCE HEALTH & SERVICES
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameDONALD ANDERSON
TitleASSISTANT SECRETARY ENROLLMENTS
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