PROVIDENCE HEALTH & SERVICES MT – NPI #1558407312
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 STEVENSVILLE, MT. NPPES has assigned the NPI number 1558407312 to PROVIDENCE HEALTH & SERVICES MT on January 29, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on May 07, 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
1558407312
Enumeration Date

(more than 19 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
Other name(s)
All associated names:
Doing Business As (dba)
PMG MT Lifespan Family Med
Doing Business As (dba)
PROVIDENCE MEDICAL GROUP MONTANA
Primary location
715 MAIN ST
SUITE A
STEVENSVILLE, MT 59870-2861
Phone: (406) 777-5522 Fax: (406) 777-1175
Mailing address
PO BOX 31001 - 4114
PASADENA, CA 91110-4114
Phone: (406) 777-5522 Fax: (406) 777-1175
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 07, 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)		 NA

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.