PROVIDENCE HEALTH & SERVICES MT NPI 1023032588

NPI Information

  • NPI: 1023032588
  • Provider Name: PROVIDENCE HEALTH & SERVICES MT
  • Classification: General Acute Care Hospital - 282N00000X
  • Entity Type: Organization
  • :
  • CLIA Number: 27D0410970
  • Address: 500 W BROADWAY ST
    MISSOULA, MT
    ZIP 59802
  • Phone: (406) 543-7271

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NPI Details

PROVIDENCE HEALTH & SERVICES MT is a general acute care hospital in Missoula, MT. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. PROVIDENCE HEALTH & SERVICES MT NPI is 1023032588. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

500 W BROADWAY ST
MISSOULA, MT
ZIP 59802-008
Phone: (406) 543-7271

The provider's authorized official is Donald Wayne Anderson .
The authorized official title is Assistant Secretary Enrollments and has the following contact phone number (425) 358-9786.

The CLIA number assigned to this NPI record is 27D0410970 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 7/27/2006 and was last updated on 5/6/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1282N00000XGeneral Acute Care Hospital10606MONTANAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14100162MEDICAIDMONTANA

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: 11/21/2025

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