| Prov St Joseph Med Ctr Ronan | |
|
63351 Us Highway 93 S Ronan MT 59864-2702 | |
| (406) 676-5680 | |
| (406) 676-5690 |
| Full Name | Prov St Joseph Med Ctr Ronan |
|---|---|
| Speciality | Clinic/Center |
| Location | 63351 Us Highway 93 S, Ronan, Montana |
| Authorized Official Name and Position | Donald Wayne Anderson (ASSISTANT SECRETARY OF ENROLLMENTS) |
| Authorized Official Contact | 4253589786 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prov St Joseph Med Ctr Ronan Po Box 31001-4110 Pasadena CA 91110-4110 | Prov St Joseph Med Ctr Ronan 63351 Us Highway 93 S Ronan MT 59864-2702 Ph: (406) 676-5680 |
| NPI Number | 1730417452 |
|---|---|
| Provider Enumeration Date | 11/19/2009 |
| Last Update Date | 04/05/2025 |
| Certification Date | 04/05/2025 |
| Medicare PECOS PAC ID | 0446230247 |
|---|---|
| Medicare Enrollment ID | O20100216000169 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730417452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | () | Primary |
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