ST. PATRICK HOSPITAL AND HEALTH SCIENCES CENTER
NPI 1003067182
Nurse Practitioner - Women's Health in Missoula, MT

NPI Status: Active since October 07, 2008

Contact Information

500 W BROADWAY ST # LEVEL3
MISSOULA, MT
ZIP 59802
Phone: (406) 327-3057
Fax: (406) 327-3231

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  • Organization
  • Nurse Practitioner
  • Women's Health
  • CLIA Number: 27D1031420
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-29-2026

About ST. PATRICK HOSPITAL AND HEALTH SCIENCES CENTER

This page provides the complete NPI Profile along with additional information for St. Patrick Hospital And Health Sciences Center, a provider established in Missoula, Montana operating as a Nurse Practitioner, focusing in women's health . The healthcare provider is registered in the NPI registry with number 1003067182 assigned on October 2008. The practitioner's primary taxonomy code is 363LW0102X with license number HAN1-0433-7045 (MT). The provider is registered as an organization and their NPI record was last updated May 2025. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's . The authorized official of this NPI record is Donald Wayne Anderson Jr. (Assistant Secretary Enrollment)

NPI
1003067182
Provider Legal Name
ST. PATRICK HOSPITAL AND HEALTH SCIENCES CENTER
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
500 W BROADWAY ST # LEVEL3 MISSOULA, MT 59802
Location Phone
(406) 327-3057
Location Fax
(406) 327-3231
Mailing Address
500 W BROADWAY LEVEL 3 MISSOULA, MT 59802
Mailing Phone
(406) 327-3057
Mailing Fax
(406) 327-3231
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-07-2008
Last Update Date
05-06-2025
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A nurse practitioner (NP) like St. Patrick Hospital And Health Sciences Center is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Women's Health

Taxonomy Code
363LW0102X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
HAN1-0433-7045
License State
MT

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DONALD WAYNE ANDERSON JR.

Authorized Official Title
ASSISTANT SECRETARY ENROLLMENT
Authorized Official Phone
(425) 358-9786

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
27D1031420
Facility Type
Physician Office
Certificate Effective Date
September 30, 2024
Certificate Expiration Date
September 29, 2026
Laboratory Director
DR. LAURA K. SHELTON
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to St. Patrick Hospital And Health Sciences Center in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003067182
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20030614116
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 6 + 1 + 4 + 1 + 1 + 6 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1003067182 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1912231911MRS. WENDY E BROWN CMT
Individual
Massage Therapist500 W BROADWAY ST # LEVEL3
MISSOULA, MT 59802
(406) 531-9641

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003067182, enumerated in the NPI registry as an "organization" on October 07, 2008

The provider is located at 500 W Broadway St # Level3 Missoula, Mt 59802 and the phone number is (406) 327-3057

This medical organization specializes in Nurse Practitioner with taxonomy code 363LW0102X with a focus in Women's Health

The provider's CLIA number is 27D1031420 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..

This NPI record was last updated on October 07, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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