PROVIDENCE HEALTH & SERVICES MT NPI 1124268966

NPI Information

  • NPI: 1124268966
  • Provider Name: PROVIDENCE HEALTH & SERVICES MT
  • Classification: Emergency Medicine - 207PE0004X
  • Specialization: Emergency Medical Services
  • Entity Type: Organization
  • Doing Business As: PMG MT TRAUMA SERVICES
  • Address: 500 W BROADWAY ST
    MISSOULA, MT
    ZIP 59802
  • Phone: (406) 327-1918

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NPI Details

PROVIDENCE HEALTH & SERVICES MT is an emergency medical services emergency medicine in Missoula, MT. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. PROVIDENCE HEALTH & SERVICES MT NPI is 1124268966. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Pmg Mt Trauma Services.

The provider's business location address is:

500 W BROADWAY ST
MISSOULA, MT
ZIP 59802-008
Phone: (406) 327-1918

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 3/5/2009 and was last updated on 7/16/2013.

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
1207P00000XEmergency MedicineNo
2207PE0004XEmergency MedicineEmergency Medical ServicesYes

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
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: 3/30/2025

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