Providence St Joseph Medical Center
NPI 1669655528ActiveOrganization· Family Medicine· Polson, MT
Family Medicine in Polson, Montana, registered in NPPES in December 2007. The authorized official on file is Donald Wayne Anderson, Assistnat Secretary Enrollment. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1669655528 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 13, 2007 |
| Last updated in NPPES | Apr 5, 2025 |
| Certified by provider | Apr 5, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MT) |
|---|
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