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PROVIDENCE HEALTH & SERVICES MT NPI 1235370065


NPI Information

NPI: 1235370065
Provider Name: PROVIDENCE HEALTH & SERVICES MT

Doing Business As: PMG MT WOUND CARE

Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

Address:
500 W BROADWAY ST
1ST FLOOR
MISSOULA, MT
ZIP 59802
Phone: (406) 327-5734
Get Directions

PROVIDENCE HEALTH & SERVICES MT is an endocrinology and diabetes and metabolism internal medicine in Missoula, MT. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. PROVIDENCE HEALTH & SERVICES MT NPI is 1235370065. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pmg Mt Wound Care.

The provider's business location address is:

500 W BROADWAY ST
1ST FLOOR
MISSOULA, MT
ZIP 59802-096
Phone: (406) 327-5734

The provider's authorized official is Teri Masters .
The authorized official title is Rcm Operations Mgr. and has the following contact phone number (406) 329-5795.

The enumeration date for this NPI number is 3/6/2009 and was last updated on 6/29/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1M000009936MEDICARE PINMONTANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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