St. Patrick Hospital & Health Sciences Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ST. PATRICK HOSPITAL & HEALTH SCIENCES CENTER

Practice address

601 W Spruce St
Suite D
Missoula, MT 59802-4057

Phone

(406) 728-7388

Fax

(406) 329-2923

NPI assigned

Feb 26, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Donald Wayne Anderson Jr.

Title

Assistant Secretary Enrollment

Phone

(425) 358-9786

Specialties & licenses 1

Addresses

Other names 1

• Garden City Primary Care Doing business as

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gloria Kornish III

  • Physician Assistant
  • Missoula, MT
  • NPI 1659431070
  NPD (past)
• Michael Stephen Kornish, M.D.

  • Emergency Medicine Physician
  • Ronan, MT
  • NPI 1558449124

  Family Medicine

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746489600000",
    "number": "1457487019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W SPRUCE ST",
            "address_2": "SUITE D",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024057",
            "telephone_number": "406-728-7388",
            "fax_number": "406-329-2923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W SPRUCE ST",
            "address_2": "SUITE D",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024057",
            "telephone_number": "406-728-7388",
            "fax_number": "406-329-2923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. PATRICK HOSPITAL & HEALTH SCIENCES CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY ENROLLMENT",
        "authorized_official_telephone_number": "425-358-9786",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Garden City Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St Patrick Hospital & Health Sciences Center
• St Patrick Hospital and Health Sciences Center
• Allexendra I St. Clair
• Emily St. John
• Nichole St. John, LMT
• St. Patrick Hospital & Health Sciences Center
• St. Patrick Hospital & Health Sciences Center
• St. Patrick Hospital and Health Sciences Center
• St. Patrick Hospital Corp
• Jessica Stabnau

• Family Medicine Physician in Missoula, MT
• Providers in Missoula, MT by specialty
• Family Medicine Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.