PROVIDENCE HEALTH & SERVICES MT NPI 1063653897

NPI Information

  • NPI: 1063653897
  • Provider Name: PROVIDENCE HEALTH & SERVICES MT
  • Classification: Physical Medicine & Rehabilitation - 2081P0004X
  • Specialization: Spinal Cord Injury Medicine
  • Entity Type: Organization
  • :
  • Address: 500 W BROADWAY ST
    3RD FLOOR
    MISSOULA, MT
    ZIP 59802
  • Phone: (406) 327-1670

Map and Directions

Get Directions

NPI Details

PROVIDENCE HEALTH & SERVICES MT is a spinal cord injury medicine physical medicine rehabilitation in Missoula, MT. The provider is a physician who addresses the prevention, diagnosis, treatment and management of traumatic spinal cord injury and non-traumatic etiologies of spinal cord dysfunction by working in an interdisciplinary manner. Care is provided to patients of all ages on a lifelong basis and covers related medical, physical, psychological and vocational disabilities and complications. PROVIDENCE HEALTH & SERVICES MT NPI is 1063653897. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

500 W BROADWAY ST
3RD FLOOR
MISSOULA, MT
ZIP 59802-096
Phone: (406) 327-1670

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

The enumeration date for this NPI number is 3/6/2009 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
1261QP3300XClinic/CenterPainNo
22081P0004XPhysical Medicine & RehabilitationSpinal Cord Injury MedicineYes

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI