PROVIDENCE HEALTH & SERVICES MT
NPI 1174074827
Nurse Practitioner in Missoula, MT

NPI Status: Active since October 18, 2016

Contact Information

500 W BROADWAY ST
MISSOULA, MT
ZIP 59802
Phone: (406) 543-7271

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  • Organization
  • Nurse Practitioner

About PROVIDENCE HEALTH & SERVICES MT

This page provides the complete NPI Profile along with additional information for Providence Health & Services Mt, a provider established in Missoula, Montana operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1174074827 assigned on October 2016. The practitioner's primary taxonomy code is 363L00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Providence Health & Services Mt operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's . The authorized official of this NPI record is Donald W Anderson Jr. (Assistant Secretary Enrollments)

NPI
1174074827
Provider Legal Name
PROVIDENCE HEALTH & SERVICES MT
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
500 W BROADWAY ST MISSOULA, MT 59802
Location Phone
(406) 543-7271
Mailing Address
PO BOX 12 LIBERTY LAKE, WA 99019
Mailing Phone
(866) 747-2455
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-18-2016
Last Update Date
05-05-2025
Code Navigator

A nurse practitioner (NP) like Providence Health & Services Mt is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DONALD W ANDERSON JR.

Authorized Official Title
ASSISTANT SECRETARY ENROLLMENTS
Authorized Official Phone
(425) 358-9786

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1174074827, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
7
Unchanged
Pos 7
4
Doubled → 8
Pos 8
8
Unchanged
Pos 9
2
Doubled → 4
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 0 → 0 4 → 8 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 4 + 4 + 0 + 7 + 8 + 8 + 4 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1174074827.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Neurological Surgery
500 W BROADWAY ST, SUITE 310
MISSOULA, MT 59802
Specialist
500 W BROADWAY ST
MISSOULA, MT 59802
Emergency Medicine
500 W BROADWAY ST, EMERGENCY DEPARTMENT
MISSOULA, MT 59802
Radiology (Diagnostic Radiology)
500 W BROADWAY ST
MISSOULA, MT 59802
Thoracic Surgery (Cardiothoracic Vascular Surgery)
500 W BROADWAY ST, SUITE 320
MISSOULA, MT 59802
Internal Medicine (Cardiovascular Disease)
500 W BROADWAY ST, SUITE 320
MISSOULA, MT 59802
Physician Assistant
500 W BROADWAY ST
MISSOULA, MT 59802
Internal Medicine
500 W BROADWAY ST
MISSOULA, MT 59802
Thoracic Surgery (Cardiothoracic Vascular Surgery)
500 W BROADWAY ST, SUITE 320
MISSOULA, MT 59802
Physician Assistant
500 W BROADWAY ST
MISSOULA, MT 59802
Internal Medicine (Cardiovascular Disease)
500 W BROADWAY ST, SUITE 320
MISSOULA, MT 59802
Physical Medicine & Rehabilitation (Pain Medicine)
500 W BROADWAY ST, LEVEL 3
MISSOULA, MT 59802
Registered Nurse (Medical-Surgical)
500 W BROADWAY ST
MISSOULA, MT 59802
Family Medicine
500 W BROADWAY ST
MISSOULA, MT 59802
Nurse Practitioner (Family)
500 W BROADWAY ST
MISSOULA, MT 59802
Nurse Practitioner (Family)
500 W BROADWAY ST
MISSOULA, MT 59802
Surgery
500 W BROADWAY ST
MISSOULA, MT 59802
Emergency Medicine
500 W BROADWAY ST, ST. PATRICK EMERGENCY DEPT.
MISSOULA, MT 59802
Emergency Medicine
500 W BROADWAY ST
MISSOULA, MT 59802
Emergency Medicine
500 W BROADWAY ST
MISSOULA, MT 59802

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174074827, enumerated as an "organization" on October 18, 2016.

The provider is located at 500 W BROADWAY ST MISSOULA, MT 59802 and the phone number is (406) 543-7271.

Nurse Practitioner with taxonomy code 363L00000X.