PROVIDENCE HEALTH & SERVICES MT – NPI #1871825018
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Health Care Provider Taxonomy Code for Internal Medicine

PROVIDENCE HEALTH & SERVICES MT is a provider located in MISSOULA, MT. NPPES has assigned the NPI number 1871825018 to PROVIDENCE HEALTH & SERVICES MT on February 12, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

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
1871825018
Enumeration Date

(more than 16 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
Phone: (406) 327-1900 Fax: (406) 329-7176
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 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
207RN0300X
- Internal Medicine / Nephrology (Primary)

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.