PROVIDENCE HEALTH & SERVICES MT – NPI #1215222617
Family Medicine

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.

Health Care Provider Taxonomy Code for Family Medicine

PROVIDENCE HEALTH & SERVICES MT is a provider located in MISSOULA, MT. NPPES has assigned the NPI number 1215222617 to PROVIDENCE HEALTH & SERVICES MT on June 14, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on May 06, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PROVIDENCE HEALTH & SERVICES MT below.

NPI Profile for
PROVIDENCE HEALTH & SERVICES MT

NPI Number
1215222617
Enumeration Date

(about 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PROVIDENCE HEALTH & SERVICES MT
Primary location
500 W BROADWAY ST
MISSOULA, MT 59802-4008
Phone: (406) 543-7271 Fax:
Mailing address
PO BOX 31001 - 4114
PASADENA, CA 91110-4114
Phone: Fax:
Organization Subpart
Yes - PROVIDENCE HEALTH & SERVICES MT is subpart of another organization.
Authorized Official
DONALD ANDERSON
ASSISTANT SECRETARY ENROLLMENTS
Phone: (425) 358-9786
Updated
Certification Date
May 06, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
363L00000X
- Nurse Practitioner
314000000X
- Skilled Nursing Facility
208VP0014X
- Pain Medicine / Interventional Pain Medicine
2081P0004X
- Physical Medicine & Rehabilitation / Spinal Cord Injury Medicine
208100000X
- Physical Medicine & Rehabilitation
208000000X
- Pediatrics
207V00000X
- Obstetrics & Gynecology
207RI0200X
- Internal Medicine / Infectious Disease
207RH0002X
- Internal Medicine / Hospice and Palliative Medicine
207RE0101X
- Internal Medicine / Endocrinology, Diabetes & Metabolism
207RC0000X
- Internal Medicine / Cardiovascular Disease
207RB0002X
- Internal Medicine / Obesity Medicine
207R00000X
- Internal Medicine
1041C0700X
- Social Worker / Clinical

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.