PROVIDENCE HEALTH & SERVICES MT
NPI 1215222617
Family Medicine in Missoula, MT

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

The NPI number for Providence Health & Services Mt is 1215222617. It was assigned to this organization in the NPPES registry on June 14, 2011. The provider is doing business as Providence Medical Group Montana.

Q: What is Providence Health & Services Mt's specialty?

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

Active since June 14, 2011

500 W BROADWAY ST, MISSOULA, MT 59802(406) 543-7271 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 6, 2025, May 14, 2024, Oct 1, 2020 and 1 more (4 updates tracked since 2016).

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About Providence Health & Services Mt NPPES

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

PROVIDENCE HEALTH & SERVICES MT (NPI 1215222617), 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 June 2011. The organization lists Donald W Anderson, Assistant Secretary Enrollments, as its authorized official.

NPPES Registry Identity

NPI1215222617

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NamePROVIDENCE HEALTH & SERVICES MT

Location Address500 W BROADWAY STMissoula, MT 59802-4008

Mailing AddressPo Box 31001 - 4114Pasadena, CA 91110-4114

Phone(406) 543-7271

Organization SubpartYesParent: Providence Health & Services

Authorized OfficialDonald W AndersonAssistant Secretary Enrollments · (425) 358-9786

Enumeration DateJune 14, 2011

Last NPPES UpdateMay 6, 20254 updates tracked since enumeration

NPPES CertifiedMay 6, 2025

✔ NPI 1215222617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ 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.

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · Obesity MedicineTaxonomy 207RB0002X

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X

Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X

Also ListedInternal Medicine · Hospice and Palliative MedicineTaxonomy 207RH0002X

Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedPediatricsTaxonomy 208000000X

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X

Also ListedPhysical Medicine & Rehabilitation · Spinal Cord Injury MedicineTaxonomy 2081P0004X

Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X

Also ListedSkilled Nursing FacilityTaxonomy 314000000X

Also ListedNurse PractitionerTaxonomy 363L00000X

500 W BROADWAY ST, Missoula, MT 59802

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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

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 1215222617. It was assigned to this organization in the NPPES registry on June 14, 2011. The provider is doing business as 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) 543-7271.

What is Providence Health & Services Mt's specialty?

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

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 17 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.