PROVIDENCE HEALTH & SERVICES MT NPI 1558530683

NPI Information

  • NPI: 1558530683
  • Provider Name: PROVIDENCE HEALTH & SERVICES MT
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • :
  • Address: 900 N ORANGE ST
    STE 102
    MISSOULA, MT
    ZIP 59802
  • Phone: (406) 327-3029

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NPI Details

PROVIDENCE HEALTH & SERVICES MT is a psychiatric/mental health nurse practitioner in Missoula, MT. PROVIDENCE HEALTH & SERVICES MT NPI is 1558530683. 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 102
MISSOULA, MT
ZIP 59802-951
Phone: (406) 327-3029

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 2/22/2008 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
11041C0700XSocial WorkerClinicalNo
2363LP0808XNurse PractitionerPsychiatric/Mental Health17652MONTANAYes

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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