PROVIDENCE HEALTH & SERVICES MT
NPI 1215222617
Family Medicine in Missoula, MT

NPI Status: Active since June 14, 2011

Contact Information

500 W BROADWAY ST
MISSOULA, MT
ZIP 59802
Phone: (406) 543-7271

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  • Organization
  • Family Medicine
  • Accepts Insurance

About PROVIDENCE HEALTH & SERVICES MT

This page provides the complete NPI Profile along with additional information for Providence Health & Services Mt, a primary care provider established in Missoula, Montana operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1215222617 assigned on June 2011. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated May 2025. Providence Health & Services Mt operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's . The authorized official of this NPI record is Donald W Anderson Jr. (Assistant Secretary Enrollments)

NPI
1215222617
Provider Legal Name
PROVIDENCE HEALTH & SERVICES MT
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
500 W BROADWAY ST MISSOULA, MT 59802
Location Phone
(406) 543-7271
Mailing Address
PO BOX 31001 - 4114 PASADENA, CA 91110
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-14-2011
Last Update Date
05-06-2025
Code Navigator

A primary care provider (PCP) like Providence Health & Services Mt sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

 
2207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 
3207RB0002XAllopathic & Osteopathic Physicians

Internal Medicine
Obesity Medicine

 
4207RC0000XAllopathic & Osteopathic Physicians

Internal Medicine
Cardiovascular Disease

 
5207RE0101XAllopathic & Osteopathic Physicians

Internal Medicine
Endocrinology, Diabetes & Metabolism

 
6207RH0002XAllopathic & Osteopathic Physicians

Internal Medicine
Hospice and Palliative Medicine

 
7207RI0200XAllopathic & Osteopathic Physicians

Internal Medicine
Infectious Disease

 
8207V00000XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology

 
9208000000XAllopathic & Osteopathic Physicians

Pediatrics

 
10208100000XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation

 
112081P0004XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation
Spinal Cord Injury Medicine

 
12208VP0014XAllopathic & Osteopathic Physicians

Pain Medicine
Interventional Pain Medicine

 
13314000000XNursing & Custodial Care Facilities

Skilled Nursing Facility

 
14363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Connect Bronze Expanded Standard - PPO
  • Connect Bronze HDHP - PPO
  • Connect Catastrophic - PPO
  • Connect Gold - PPO
  • Connect Gold Standard - PPO
  • Connect Silver - PPO
  • Connect Silver Standard - PPO
  • High Plains Bronze HDHP - PPO
  • High Plains Bronze Standard Expanded - PPO
  • High Plains Gold - PPO
  • High Plains Gold HDHP - PPO
  • High Plains Gold Standard - PPO
  • High Plains Silver - PPO
  • High Plains Silver Standard - PPO
  • Plus Bronze Expanded - PPO
  • Plus Bronze Standard Expanded - PPO
  • Plus Gold - PPO
  • Plus Gold Standard - PPO
  • Plus Silver Standard - PPO
  • ACCESS BRONZE - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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 W ANDERSON JR.

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

Reviews for PROVIDENCE HEALTH & SERVICES MT

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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.
1215222617
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
222542462
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 4 + 2 + 4 + 6 + 2 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1215222617 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1578557377DR. CHRISS A MACK MD
Individual
Neurological Surgery500 W BROADWAY ST SUITE 310
MISSOULA, MT 59802
(406) 728-6520
1215986401 JOSEPH H WEYDT MD
Individual
Specialist500 W BROADWAY ST
MISSOULA, MT 59802
(406) 543-7271
1356393920DR. DOUGLAS WILLARD WEBBER MD
Individual
Emergency Medicine500 W BROADWAY ST EMERGENCY DEPARTMENT
MISSOULA, MT 59802
(406) 329-5635
1063459824DR. WAYNE L. DAVIS M.D.
Individual
Radiology (Diagnostic Radiology)500 W BROADWAY ST
MISSOULA, MT 59802
(406) 543-7271
1245272640 STEPHEN P HIRO MD
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)500 W BROADWAY ST SUITE 320
MISSOULA, MT 59802
(406) 329-5615
1588609499 CAROLYN C. GOREN MD
Individual
Internal Medicine (Cardiovascular Disease)500 W BROADWAY ST SUITE 320
MISSOULA, MT 59802
(406) 329-5615
1528004439 JOYCE ZARANSKY PA-C
Individual
Physician Assistant500 W BROADWAY ST
MISSOULA, MT 59802
(406) 543-7271
1770510588 JANELLE L DONOVAN MD
Individual
Internal Medicine500 W BROADWAY ST
MISSOULA, MT 59802
(406) 327-1900
1104853829 STEPHEN A. TAHTA MD
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)500 W BROADWAY ST SUITE 320
MISSOULA, MT 59802
(406) 329-5615
1841228020 KARIN M JOHNS PA-C
Individual
Physician Assistant500 W BROADWAY ST
MISSOULA, MT 59802
(406) 543-7271
1144258005 GEORGE H. REED MD
Individual
Internal Medicine (Cardiovascular Disease)500 W BROADWAY ST SUITE 320
MISSOULA, MT 59802
(406) 329-5615
1457381881DR. KAREN CHERYL NELSON PT, MS, MD
Individual
Physical Medicine & Rehabilitation (Pain Medicine)500 W BROADWAY ST LEVEL 3
MISSOULA, MT 59802
(406) 327-1670
1922027978 DEBORAH ANN HANCOCK RN
Individual
Registered Nurse (Medical-Surgical)500 W BROADWAY ST
MISSOULA, MT 59802
(406) 329-2684
1295841799 STEPHANIE S WELCH MD
Individual
Family Medicine500 W BROADWAY ST
MISSOULA, MT 59802
(406) 721-5600
1225147226 AMY S KNIGHT NP
Individual
Nurse Practitioner (Family)500 W BROADWAY ST
MISSOULA, MT 59802
(406) 777-3542
1992817233MS. CAROL G ENDERLE NP
Individual
Nurse Practitioner (Family)500 W BROADWAY ST
MISSOULA, MT 59802
(406) 543-7271
1134231798 LORI A GRIMSLEY MD
Individual
Surgery500 W BROADWAY ST
MISSOULA, MT 59802
(406) 542-7525
1366541724DR. WARREN HOWARD GUFFIN M.D.
Individual
Emergency Medicine500 W BROADWAY ST ST. PATRICK EMERGENCY DEPT.
MISSOULA, MT 59802
(406) 329-5635
1275620072DR. MARK WESTON M.D.
Individual
Emergency Medicine500 W BROADWAY ST
MISSOULA, MT 59802
(406) 721-3522
1417032731DR. MICHAEL A KREMKAU MD
Individual
Emergency Medicine500 W BROADWAY ST
MISSOULA, MT 59802
(406) 542-7271

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215222617, enumerated in the NPI registry as an "organization" on June 14, 2011

The provider is located at 500 W Broadway St Missoula, Mt 59802 and the phone number is (406) 543-7271

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider might be accepting Accepts: Mountain Health CO-OP. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on June 14, 2011. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.