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PROVIDENCE HEALTH & SERVICES MT NPI 1063653897


NPI Information

NPI: 1063653897
Provider Name: PROVIDENCE HEALTH & SERVICES MT

Doing Business As: PMG MT SPINE & PAIN

Classification: Physical Medicine & Rehabilitation - 2081P0004X
Entity Type: Organization

Specialization: Spinal Cord Injury Medicine

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

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 and is a multi-specialty group.
The provider Is Doing Business As Pmg Mt Spine & Pain.

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 Dir Reimb Reg Strat/asst Sec Enroll and has the following contact phone number (425) 525-5392.

The enumeration date for this NPI number is 3/6/2009 and was last updated on 3/5/2024.


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
12081P0004XPhysical Medicine & RehabilitationSpinal Cord Injury MedicineYes
2261QP3300XClinic/CenterPainNo

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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