PROVIDENCE HEALTH & SERVICES MT (NPI# 1881191948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881191948 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HEALTH & SERVICES MT |
| Other Organization Name | PROVIDENCE MEDICAL GROUP MT - MDPP |
| Practice Address |
900 N Orange St Ste 304 Missoula MT 59802-2951 |
| Practice Telephone | 4063295781 |
| Practice Fax Number | 4063273331 |
| Mailing Telephone | 4063295781 |
| Mailing Fax Number | 4063273331 |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2018-04-06 |
| Authorized Official Name | DONALD WAYNE ANDERSON JR. (ASST SEC FOR ENROLLMENT/DIR REIMB A) |
| Authorized Official Telephone | 4255255392 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Providence Medical Group MT - MDPP | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326483587 | Providence Health & Services Mt | Internal Medicine | 24001 East Mission Ave. Ste 105, Providence Healtlh and Services, Montana, Liberty Lake, WA 99019-0012 | 2013-05-01 |
| 1679865497 | Providence Health & Services Mt | Physician Assistant | 3050 Highway 83 N, Seeley Lake, MT 59868 | 2011-05-12 |
| 1427281203 | Providence Health & Services Mt | Internal Medicine | 500 W Broadway Street, Missoula, MT 59802-4096 | 2009-08-27 |
| 1538394267 | Providence Health & Services Mt | Internal Medicine | 435 S Crystal St Ste 240, Butte, MT 59701-1523 | 2009-05-26 |
| 1871750554 | Providence Health & Services Mt | Internal Medicine | 300 W Mercury Street, Butte, MT 59701-1652 | 2008-05-20 |
| 1518124379 | Providence Health & Services Mt | Internal Medicine | 1102 E Commercial Ave, Anaconda, MT 59711-2718 | 2008-05-20 |
| 1174074827 | Providence Health & Services Mt | Nurse Practitioner | 500 W Broadway St, Missoula, MT 59802-4008 | 2016-10-18 |
| 1720477953 | Providence Health & Services Mt | Neurological Surgery | 500 W Broadway St, Missoula, MT 59802-4008 | 2015-01-12 |
| 1215222617 | Providence Health & Services Mt | Internal Medicine | 500 W Broadway St, Missoula, MT 59802-4008 | 2011-06-14 |
| 1598064628 | Providence Health & Services Mt | Clinic/Center | 601 W Spruce St, Suite A, Missoula, MT 59802-4057 | 2011-03-15 |
| Street Address |
900 N ORANGE ST STE 304 |
| City | MISSOULA |
| State | MT |
| Zip Code | 59802-2951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215914056 | Rashel Jeffrey | Social Worker | 900 N Orange St Ste 304, Missoula, MT 59802-2951 | 2005-12-22 |
| 1154957850 | Barbara Mcgee | Nurse Practitioner | 900 N Orange St Ste 304, Missoula, MT 59802-2951 | 2020-03-14 |
| 1720588940 | Kayli Michelle Julius | Community Health Worker | 900 N Orange St Ste 304, Missoula, MT 59802-2951 | 2018-02-14 |
| 1134585102 | Ingrid Hazlett | Clinical Nurse Specialist | 900 N Orange St Ste 304, Missoula, MT 59802-2951 | 2016-01-06 |
| 1508247255 | Tara Lemm | Dietitian, Registered | 900 N Orange St Ste 304, Missoula, MT 59802-2951 | 2015-06-17 |
| 1730449380 | Meredith F Ross | Internal Medicine | 900 N Orange St Ste 304, Missoula, MT 59802 | 2012-05-16 |
| 1326180035 | Pamela S Lockwood | Dietitian, Registered | 900 N Orange St Ste 304, Missoula, MT 59802-2951 | 2007-02-12 |
| 1053321273 | Michele A Danicich | Internal Medicine | 900 N Orange St Ste 304, Missoula, MT 59802-2951 | 2006-08-09 |
| 1174577589 | Christopher M Corsi | Internal Medicine | 900 N Orange St Ste 304, Missoula, MT 59802-2951 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945921 | Montana Endoscopy Center, Pllc | Clinic/Center | 1930 W Broadway, Ste B, Missoula, MT 59802 | 2020-06-08 |
| 1194364091 | Tommie Lynn Perusich | Nurse Practitioner | 1120 Cedar St., Missoula, MT 59802 | 2019-12-26 |
| 1386122752 | The Hope Health Alliance, Inc. | Case Management | 314 White House Ln, Missoula, MT 59802 | 2018-07-30 |
| 1881181444 | Carol Anne Lesser | Massage Therapist | 1918 Birch St, Missoula, MT 59802 | 2018-04-19 |
| 1528587581 | Missoula Aids Fund, Inc. | Clinic/Center | 1500 W. Broadway Suite A, Missoula, MT 59802 | 2017-09-11 |
| 1942740667 | Gabrielle Shulman | Counselor | 415 N Higgins Ave Ste 14, Missoula, MT 59802 | 2017-02-28 |
| 1053798736 | Endurance Physio | Clinic/Center | 214 E. Main St, Missoula, MT 59802 | 2015-05-01 |
| 1720481971 | Anna Golding | Counselor | 1325 Wyoming Street, Missoula, MONTANA 59802 | 2014-10-02 |
| 1003255803 | Jennifer Dawn Danielson | Speech-Language Pathologist | 2408 Duncan Drive, Missoula, MT 59802 | 2013-06-14 |
| 1437595725 | Partnership Health Center Inc | Clinic/Center | 1150 Sherwood St, Missoula, MT 59802 | 2013-05-14 |
| Find all providers in zip 59802 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104423185 | Rising Phoenix Counseling Solutions | Clinic/Center | 210 N Higgins Ave Ste 222, Missoula, MT 59802-4443 | 2020-10-03 |
| 1790327302 | Cosmos Therapy Solutions, LLC | Clinic/Center | 715 Kensington Ave Ste 14, Missoula, MT 59801-5700 | 2019-10-15 |
| 1821612946 | Montana Gastroenterology, Pllc | Clinic/Center | 500 W Broadway St Fl 4, Missoula, MT 59802-4008 | 2020-06-04 |
| 1598313801 | Ideal Option Pllc | Clinic/Center | 2685 Palmer St Ste D, Missoula, MT 59808-1709 | 2019-08-29 |
| 1801309208 | Ideal Telemedicine Services, LLC | Clinic/Center | 3111 S Grant St, Missoula, MT 59801-8341 | 2017-11-08 |
| 1881139384 | Ohana Providers, Pllc | Clinic/Center | 111 N Higgins Ave, Ste 600, Missoula, MT 59802-4437 | 2016-12-20 |
| 1598064628 | Providence Health & Services Mt | Clinic/Center | 601 W Spruce St, Suite A, Missoula, MT 59802-4057 | 2011-03-15 |
| 1679801948 | New Leaf Chiropractic, Pllc | Clinic/Center | 410 W Spruce St, Missoula, MT 59802-4106 | 2009-11-25 |
| 1285814723 | Anderson Chiropractic PC | Clinic/Center | 3031 S Russell St, Ste 2, Missoula, MT 59801-8540 | 2007-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902448897 | Livingston Healthcare | Clinic/Center | 1429 W Montana St, Livingston, MT 59047-1530 | 2019-10-11 |
| 1124660279 | Livingston Healthcare | Clinic/Center | 309 Elliot St N, Wilsall, MT 59086-8501 | 2019-10-10 |
| 1467006049 | Livingston Healthcare | Clinic/Center | 102 View Vista Dr, Livingston, MT 59047-3528 | 2019-07-31 |
| 1013488733 | Traditional Oriental Medicine, Inc. | Clinic/Center | 300 N Willson Ave Ste 3002, Bozeman, MT 59715-3572 | 2018-12-06 |
| 1952881138 | Heavens Peak Healthcare LLC | Clinic/Center | 9540 9th St W, Columbia Falls, MT 59912 | 2018-08-17 |
| 1295214294 | Wholistic Healing | Clinic/Center | 104 Main St Sw, Ronan, MT 59864-2703 | 2018-08-09 |
| 1104339597 | Ideal Telemedicine Services, LLC | Clinic/Center | 1532 Ellis St Ste 104, Bozeman, MT 59715-8809 | 2017-11-08 |
| 1295254621 | Casterline Family Chiropractic LLC | Clinic/Center | 54171 Us Highway 2, Glasgow, MT 59230-1544 | 2017-09-18 |
| 1710405824 | Mindset Bozeman PC | Clinic/Center | 205 Haggerty Ln Ste 150, Bozeman, MT 59715-8804 | 2017-09-08 |
| 1982148607 | Ideal Telemedicine Services, LLC | Clinic/Center | 2525 4th Ave N Ste A, Billings, MT 59101-1312 | 2016-12-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.