PROVIDENCE HEALTH & SERVICES MT NPI 1326483587

NPI Information

  • NPI: 1326483587
  • Provider Name: PROVIDENCE HEALTH & SERVICES MT
  • Classification: Internal Medicine - 207RX0202X
  • Specialization: Medical Oncology
  • Entity Type: Organization
  • :
  • Address: 500 W BROADWAY ST
    MISSOULA, MT
    ZIP 59802
  • Phone: (406) 728-2539

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NPI Details

PROVIDENCE HEALTH & SERVICES MT is a medical oncology internal medicine in Missoula, MT. The provider is an internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. PROVIDENCE HEALTH & SERVICES MT NPI is 1326483587. 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) 728-2539

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

The enumeration date for this NPI number is 5/1/2013 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
1261QX0203XClinic/CenterOncology, RadiationNo
2207RX0202XInternal MedicineMedical Oncology13200MONTANAYes

What is NPI?

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This page was last updated on: 11/21/2025

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