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PROVIDENCE HEALTH & SERVICES MT
NPI 1124268966
Emergency Medicine - Emergency Medical Services in Missoula, MT

Active since March 05, 2009
500 W BROADWAY ST, MISSOULA, MT 59802(406) 327-1918 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 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 1124268966), doing business as Pmg Mt Trauma Services, is a healthcare organization registered as an emergency medical services in Missoula, Montana and active in the NPI registry since March 2009. The organization lists Donald Wayne Anderson, Assistant Secretary Enrollment, as its authorized official.

NPPES Registry Identity

NPI1124268966
Entity TypeOrganization
Primary Taxonomy207PE0004X
Legal Business NamePROVIDENCE HEALTH & SERVICES MT
Location Address500 W BROADWAY STMissoula, MT 59802-4008
Mailing AddressPo Box 12Liberty Lake, WA 99019-0012 · (406) 327-1918
Phone(406) 327-1918
Organization SubpartYesParent: Providence Health & Services
Authorized OfficialDonald Wayne AndersonAssistant Secretary Enrollment · (425) 358-9786
Enumeration DateMarch 5, 2009
Last NPPES UpdateMay 5, 2025
NPPES CertifiedMay 5, 2025
✔ NPI 1124268966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Also ListedEmergency MedicineTaxonomy 207P00000X
500 W BROADWAY ST, Missoula, MT 59802
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Other Names 2

Doing Business AsPmg Mt Trauma Services
Doing Business AsProvidence Medical Group Montana

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 1124268966. It was assigned to this organization in the NPPES registry on March 5, 2009. The provider is doing business as PMG MT Trauma Services and Providence Medical Group Montana.

Where is Providence Health & Services Mt located?

Providence Health & Services Mt is located at 500 W Broadway St, Missoula, MT 59802. The listed phone number is (406) 327-1918.

What is Providence Health & Services Mt's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

When was this NPI record last updated?

The NPPES record for Providence Health & Services Mt was last updated on May 5, 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.