PROVIDENCE HEALTH & SERVICES MT – NPI #1063653897
Physical Medicine & Rehabilitation
A physician who addresses the prevention, diagnosis, treatment and management of traumatic spinal cord injury and non-traumatic etiologies of spinal cord dysfunction by working in an interdisciplinary manner. Care is provided to patients of all ages on a lifelong basis and covers related medical, physical, psychological and vocational disabilities and complications.
PROVIDENCE HEALTH & SERVICES MT is a provider located in MISSOULA, MT. NPPES has assigned the NPI number 1063653897 to PROVIDENCE HEALTH & SERVICES MT on March 06, 2009. 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. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2081P0004X from the Health Care Provider Taxonomy code set, which is classified as Physical Medicine & Rehabilitation, specializing in Spinal Cord Injury Medicine
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
(more than 17 years ago)
All associated names:
PMG MT Spine & Pain
PROVIDENCE MEDICAL GROUP MONTANA
3RD FLOOR
MISSOULA, MT 59802-4096 Phone: (406) 327-1670 Fax:
PASADENA, CA 91110-4114 Phone: (406) 327-1918 Fax:
ASSISTANT SECRETARY ENROLLMENT
Phone: (425) 358-9786
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.
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 |
|---|---|---|
| 2081P0004X - Physical Medicine & Rehabilitation / Spinal Cord Injury Medicine (Primary) |
||
| 261QP3300X - Clinic/Center / Pain |
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.