Providence Health & Services Mt

NPI #1215222617 in Missoula, Montana

Provider Information

NPI Number
1215222617
Entity Type
Organization
Organization Name
Providence Health & Services Mt
Subpart
Yes (part of a larger organization)
Parent Organization
PROVIDENCE HEALTH & SERVICES
Primary Specialty
Family Medicine
Enumeration Date
Jun 14, 2011
Last Updated
May 6, 2025

Practice Location

Address
500 W BROADWAY ST
State
Montana
ZIP Code
59802-4008
Phone
(406) 543-7271

Authorized Official

Name
DONALD W ANDERSON JR.
Title
ASSISTANT SECRETARY ENROLLMENTS
Phone
(425) 358-9786

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical
Internal Medicine
Internal Medicine - Obesity MedicineObesity Medicine
Internal Medicine - Cardiovascular DiseaseCardiovascular Disease
Internal Medicine - Endocrinology, Diabetes & MetabolismEndocrinology, Diabetes & Metabolism
Internal Medicine - Hospice and Palliative MedicineHospice and Palliative Medicine
Internal Medicine - Infectious DiseaseInfectious Disease
Obstetrics & Gynecology
Pediatrics
Physical Medicine & Rehabilitation
Physical Medicine & Rehabilitation - Spinal Cord Injury MedicineSpinal Cord Injury Medicine
Pain Medicine - Interventional Pain MedicineInterventional Pain Medicine
Skilled Nursing Facility
Nurse Practitioner
Family Medicine

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