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PROVIDENCE HEALTH & SERVICES MT
NPI 1083578314
Family Medicine in Missoula, MT

Active since December 11, 2025
3017 PAXSON STREET, MISSOULA, MT 59801(406) 519-3422 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Providence Health & Services Mt NPPES

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

PROVIDENCE HEALTH & SERVICES MT (NPI 1083578314), doing business as Providence Medical Group Montana, is a healthcare organization registered as a family medicine in Missoula, Montana and active in the NPI registry since December 2025. The organization lists Donald Wayne Anderson, Assistant Secretary Enrollment, as its authorized official.

NPPES Registry Identity

NPI1083578314
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES MT
Location Address3017 PAXSON STREETMissoula, MT 59801
Mailing AddressPo Box 31001 - 4114Pasadena, CA 91110-4114
Phone(406) 519-3422
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secretary Enrollment · (425) 358-9786
Enumeration DateDecember 11, 2025
NPPES CertifiedDecember 5, 2025
✔ NPI 1083578314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

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.

3017 PAXSON STREET, Missoula, MT 59801
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Other Names 1

Doing Business AsProvidence Medical Group Montana

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 1083578314. It was assigned to this organization in the NPPES registry on December 11, 2025. The provider is doing business as Providence Medical Group Montana.

Where is Providence Health & Services Mt located?

Providence Health & Services Mt is located at 3017 Paxson Street, Missoula, MT 59801. The listed phone number is (406) 519-3422.

What is Providence Health & Services Mt's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Providence Health & Services Mt was last updated on December 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.