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PROVIDENCE HEALTH & SERVICES MT
NPI 1063653897
Physical Medicine & Rehabilitation - Spinal Cord Injury Medicine in Missoula, MT

Active since March 06, 2009
500 W BROADWAY ST, 3RD FLOOR, MISSOULA, MT 59802(406) 327-1670 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2025, Mar 5, 2024, Oct 20, 2021 (3 updates tracked since 2021).

About Providence Health & Services Mt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE HEALTH & SERVICES MT (NPI 1063653897), doing business as Pmg Mt Spine & Pain, is a healthcare organization registered as a spinal cord injury medicine in Missoula, Montana and active in the NPI registry since March 2009. The organization lists Donald W Anderson, Assistant Secretary Enrollment, as its authorized official.

NPPES Registry Identity

NPI1063653897
Entity TypeOrganization
Primary Taxonomy2081P0004X
Legal Business NamePROVIDENCE HEALTH & SERVICES MT
Location Address500 W BROADWAY ST, 3RD FLOORMissoula, MT 59802-4096
Mailing AddressPo Box 31001 - 4114Pasadena, CA 91110-4114 · (406) 327-1918
Phone(406) 327-1670
Organization SubpartYesParent: Providence Health & Services
Authorized OfficialDonald W AndersonAssistant Secretary Enrollment · (425) 358-9786
Enumeration DateMarch 6, 2009
Last NPPES UpdateMay 6, 20253 updates tracked since enumeration
NPPES CertifiedMay 6, 2025
✔ NPI 1063653897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Spinal Cord Injury MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P0004X
Definition
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.
Also ListedClinic/Center · PainTaxonomy 261QP3300X
500 W BROADWAY ST, Missoula, MT 59802
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Other Names 2

Doing Business AsPmg Mt Spine & Pain
Doing Business AsProvidence Medical Group Montana

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SIMONE MUSCO MD
Internal Medicine (Clinical Cardiac Electrophysiology)
500 W BROADWAY ST, STE 320
MISSOULA, MT 59802
Missoula County (406) 329-5615
PROVIDENCE HEALTH & SERVICES MT
General Acute Care Hospital
500 W BROADWAY ST
MISSOULA, MT 59802
Missoula County (406) 543-7271
JAMIE BELKOWSKI PHARMACIST
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
500 W BROADWAY ST
MISSOULA, MT 59802
Missoula County (406) 543-7271
DR. DESIREE NICOLE OWSLEY PHARMD
Pharmacist (Pharmacotherapy)
500 W BROADWAY ST
MISSOULA, MT 59802
Missoula County (406) 327-1650
JEANNIE H SWAIN PHARMD
Pharmacist (Pharmacotherapy)
500 W BROADWAY ST
MISSOULA, MT 59802
Missoula County (406) 329-5721
HEATHER HIGHTOWER NP
Nurse Practitioner (Family)
500 W BROADWAY ST
MISSOULA, MT 59802
Missoula County (406) 728-2539
MR. CURTIS G WICKRE MD
Internal Medicine (Nephrology)
500 W BROADWAY ST, 4TH FLOOR
MISSOULA, MT 59802
Missoula County (406) 327-1900
DR. TRAVIS OWEN ABICHT MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
500 W BROADWAY ST
MISSOULA, MT 59802
Missoula County (406) 329-5615

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Providence Health & Services Mt's NPI number?

The NPI number for Providence Health & Services Mt is 1063653897. It was assigned to this organization in the NPPES registry on March 6, 2009. The provider is doing business as PMG MT Spine & Pain and Providence Medical Group Montana.

Where is Providence Health & Services Mt located?

Providence Health & Services Mt is located at 500 W Broadway St 3rd Floor, Missoula, MT 59802. The listed phone number is (406) 327-1670.

What is Providence Health & Services Mt's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Spinal Cord Injury Medicine, with taxonomy code 2081P0004X.

What insurance does Providence Health & Services Mt accept?

Health plans from Blue Cross and Blue Shield of Montana list Providence Health & Services Mt as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Providence Health & Services Mt was last updated on May 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.