PROVIDENCE HEALTH & SERVICES MT NPI 1881191948

NPI Information

  • NPI: 1881191948
  • Provider Name: PROVIDENCE HEALTH & SERVICES MT
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • :
  • Address: 900 N ORANGE ST STE 304
    MISSOULA, MT
    ZIP 59802
  • Phone: (406) 329-5781

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NPI Details

PROVIDENCE HEALTH & SERVICES MT is a clinic center in Missoula, MT. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PROVIDENCE HEALTH & SERVICES MT NPI is 1881191948. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

900 N ORANGE ST STE 304
MISSOULA, MT
ZIP 59802-951
Phone: (406) 329-5781
Fax: (406) 327-3331

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 enumeration date for this NPI number is 4/6/2018 and was last updated on 5/7/2025.

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
1133VN1006XDietitian, RegisteredNutrition, MetabolicNo
2261Q00000XClinic/CenterYes

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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