PROVIDENCE ST JOSEPH MEDICAL CENTER
NPI 1669655528
Family Medicine in Polson, MT

Active since December 13, 2007
6 13TH AVE E, POLSON, MT 59860(406) 883-5377 Get Directions Write a Review

NPPES record last updated: April 5, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 5, 2025, Feb 12, 2021 (2 updates tracked since 2021).

About Providence St Joseph Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE ST JOSEPH MEDICAL CENTER (NPI 1669655528), doing business as Prov St Joseph Med Ctr, is a healthcare organization registered as a family medicine in Polson, Montana and active in the NPI registry since December 2007. The organization lists Donald Wayne Anderson, Assistnat Secretary Enrollment, as its authorized official.

NPPES Registry Identity

NPI1669655528
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePROVIDENCE ST JOSEPH MEDICAL CENTER
Location Address6 13TH AVE EPolson, MT 59860-5315
Mailing AddressPo Box 31001-4110Pasadena, CA 91110-4110 · (406) 883-5377
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistnat Secretary Enrollment · (425) 359-9786
Enumeration DateDecember 13, 2007
Last NPPES UpdateApril 5, 20252 updates tracked since enumeration
NPPES CertifiedApril 5, 2025
✔ NPI 1669655528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6 13TH AVE E, Polson, MT 59860

Other Names 1

Doing Business AsProv St Joseph Med Ctr

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Providence St Joseph Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

111

Medicare enrollment records show 111 clinicians reassign Medicare billing to Providence St Joseph Medical Center, which bills Medicare for the services they deliver. Of these, 16 practice at this address and 24 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 25

Emergency Medicine25
Nurse Practitioner11
Cardiovascular Disease (Cardiology)9
Family Practice9
Certified Registered Nurse Anesthetist (CRNA)8
Hospitalist5
Interventional Cardiology5
Obstetrics/Gynecology5
17 other specialties34

Nearest to this location (20)

See all 111
Orthopedic Surgery
NPI 1033641550
6 13TH AVE E
Polson, MT 59860
(406) 883-5680
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1558390617
6 13TH AVE E
Polson, MT 59860
(406) 883-5680
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1932601796
6 13TH AVE E
Polson, MT 59860
(406) 883-5680
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1982902367
6 13TH AVE E
Polson, MT 59860
(406) 883-8924
✔ Accepts MedicareSame address
Emergency Medicine
NPI 1396242392
6 13TH AVE E
Polson, MT 59860
(406) 883-5680
✔ PECOSSame address
Nurse Practitioner
NPI 1215187588
6 13TH AVE E
Polson, MT 59860
(406) 883-5680
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1932720224
6 13TH AVE E
Polson, MT 59860
(406) 883-5680
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1093755183
6 13TH AVE E
Polson, MT 59860
(406) 883-5680
Same address
Family Practice
NPI 1366975252
6 13TH AVE E
Polson, MT 59860
(406) 883-8420
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1225423239
6 13TH AVE E
Polson, MT 59860
(406) 883-5680
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1336124072
6 13TH AVE E
Polson, MT 59860
(406) 883-5377
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1295762714
6 13TH AVE E ST. JOSEPH MEDICAL CENTER
Polson, MT 59860
(406) 883-5680
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1912503566
6 13TH AVE E
Polson, MT 59860
(406) 883-5680
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1306296249
6 13TH AVE E
Polson, MT 59860
(406) 883-5680
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1871821744
6 13TH AVE E
Polson, MT 59860
(406) 883-5680
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1376170878
6 13TH AVE E
Polson, MT 59860
(406) 883-5680
✔ PECOSSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1992860944
6 13TH AVE E
Polson, MT 59860
(406) 883-5377
0.1 mi
Emergency Medicine
NPI 1093255879
6 13TH AVE E
Polson, MT 59860
(406) 883-5680
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1225488356
6 13TH AVE E
Polson, MT 59860
(406) 883-5680
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1619372364
6 13TH AVE E
Polson, MT 59860
(406) 883-5680
✔ PECOS✔ Accepts Medicare0.6 mi
See all 111 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Providence St Joseph Medical Center's NPI number?

The NPI number for Providence St Joseph Medical Center is 1669655528. It was assigned to this organization in the NPPES registry on December 13, 2007. The provider is doing business as Prov St Joseph Med Ctr.

Where is Providence St Joseph Medical Center located?

Providence St Joseph Medical Center is located at 6 13th Ave E, Polson, MT 59860. The listed phone number is (406) 883-5377.

What is Providence St Joseph Medical Center's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Providence St Joseph Medical Center enrolled in Medicare?

Yes. Providence St Joseph Medical Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Providence St Joseph Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 111 clinicians in 25 Medicare specialties reassign their Medicare billing to Providence St Joseph Medical Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Emergency Medicine (25), Nurse Practitioner (11) and Cardiovascular Disease (Cardiology) (9). Of these, 16 practice at this address and 24 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Providence St Joseph Medical Center accept?

Health plans from Blue Cross and Blue Shield of Montana list Providence St Joseph Medical Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Providence St Joseph Medical Center was last updated on April 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.