PROVIDENCE SURGERY CENTER
NPI 1407860745
Clinic/Center - Ambulatory Surgical in Missoula, MT

Q: What is Providence Surgery Center's NPI number?

The NPI number for Providence Surgery Center is 1407860745. It was assigned to this organization in the NPPES registry on July 29, 2006.

Q: What is Providence Surgery Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since July 29, 2006CLIA Certified · 2 labs

902 N ORANGE ST, MISSOULA, MT 59802(406) 327-3300(406) 327-3302 Get Directions Write a Review

NPPES record last updated: December 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Providence Surgery Center NPPES

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

PROVIDENCE SURGERY CENTER (NPI 1407860745) is a healthcare organization registered as an ambulatory surgical in Missoula, Montana and active in the NPI registry since July 2006. The organization holds 2 active CLIA laboratory certificates and lists Shelley Longgood, Administrator, as its authorized official.

NPPES Registry Identity

NPI1407860745

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NamePROVIDENCE SURGERY CENTER

Location Address902 N ORANGE STMissoula, MT 59802-2916

Mailing Address902 N Orange StMissoula, MT 59802-2916 · (406) 327-3300 · Fax (406) 327-3302

Phone(406) 327-3300

Fax(406) 327-3302

Organization SubpartNo

Authorized OfficialShelley LonggoodAdministrator · (406) 327-3300

Enumeration DateJuly 29, 2006

Last NPPES UpdateDecember 31, 2024

NPPES CertifiedDecember 31, 2024

✔ NPI 1407860745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

License✔ Licensed in MT · 10708

902 N ORANGE ST, Missoula, MT 59802

Open in Google Maps ↗

Other Identifiers 1

Medicaid0350098MT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 27D0934160

Providence Surgery Center · Missoula, MT

Active · expires Sep 29, 2027

CLIA Number27D0934160

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateSeptember 30, 2025

Certificate Expiration DateSeptember 29, 2027

Laboratory DirectorJudy M. Hall

Laboratory Phone(406) 327-3301

Laboratory LocationProvidence Surgery Center902 North Orange Street, Missoula, MT 59802

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 27D2195065

Providence Center · Missoula, MT

Active · expires Oct 5, 2026

CLIA Number27D2195065

Laboratory TypeMental Health

Certificate Effective DateOctober 6, 2024

Certificate Expiration DateOctober 5, 2026

Laboratory DirectorDr. Claude A. Tonnerre

Laboratory Phone(406) 329-5878

Laboratory LocationProvidence Center902 N Orange Street, Missoula, MT 59802

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg C9088

Instillation of bupivacaine and meloxicam involves administering these medications into your body, usually through an injection. Bupivacaine is a local anesthetic that numbs specific areas, and meloxicam is an anti-inflammatory drug that reduces pain and swelling.

21,600 services77 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

561 services305 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

317 services106 patients

Injection of substance into lower spine canal using imaging guidance 62323

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

187 services133 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

152 services80 patients

Injection of substance into middle or upper spine canal using imaging guidance 62321

This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.

132 services98 patients

Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260

This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.

108 services66 patients

Injection of upper or middle spine facet joint using imaging guidance, single level 64490

This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.

74 services39 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

50 services49 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

34 services33 patients

Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint 64633

This procedure involves the use of imaging technology to guide a needle to the nerves of a single facet joint in the upper or middle spine. The nerves are then treated to alleviate pain and improve mobility.

34 services20 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

14 services11 patients

Other Providers at the Same Location NPPES 9

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

MR. BROOKS WILLIAM BAER LCPC

Counselor (Professional)

902 N ORANGE ST, SUITE 102
MISSOULA, MT 59802

Missoula County (406) 327-3034

JILL AUCOIN FNP-BC

Nurse Practitioner (Family)

902 N ORANGE ST
MISSOULA, MT 59802

Missoula County (406) 329-5736

ROBERT C. MUNJAL MD

Psychiatry & Neurology (Psychiatry)

902 N ORANGE ST, SUITE 206
MISSOULA, MT 59802

Missoula County (406) 327-3362

KELLI GIBBS

Physician Assistant

902 N ORANGE ST
MISSOULA, MT 59802

Missoula County (406) 329-5736

PROVIDENCE HEALTH & SERVICES MT

Internal Medicine (Infectious Disease)

902 N ORANGE ST
MISSOULA, MT 59802

Missoula County (406) 321-1732

MS. ADELINE MAY WAKEMAN ARNP

Nurse Practitioner (Psychiatric/Mental Health)

902 N ORANGE ST
MISSOULA, MT 59802

Missoula County (206) 713-6495

PROVIDENCE HEALTH & SERVICES MT

Psychiatric Unit

902 N ORANGE ST
MISSOULA, MT 59802

Missoula County (406) 542-7271

BARBARA ANN JACOBSON FNP

Nurse Practitioner (Family)

902 N ORANGE ST
MISSOULA, MT 59802

Missoula County (406) 329-5736

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 Surgery Center's NPI number?

The NPI number for Providence Surgery Center is 1407860745. It was assigned to this organization in the NPPES registry on July 29, 2006.

Where is Providence Surgery Center located?

Providence Surgery Center is located at 902 N Orange St, Missoula, MT 59802. The listed phone number is (406) 327-3300.

What is Providence Surgery Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Providence Surgery Center hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Providence Surgery Center accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan list Providence Surgery Center 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 Surgery Center was last updated on December 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

About Providence Surgery Center NPPES

NPPES Registry Identity

Specialties & Licenses

Other Identifiers 1

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

Certificate of Waiver · 27D0934160

Certificate of Waiver · 27D2195065

Areas of Expertise CMS Part B claims 12

Other Providers at the Same Location NPPES 9

Frequently Asked Questions NPPES & CMS

What is Providence Surgery Center's NPI number?

Where is Providence Surgery Center located?

What is Providence Surgery Center's specialty?

Does Providence Surgery Center hold CLIA laboratory certificates?

What insurance does Providence Surgery Center accept?

When was this NPI record last updated?

Certificate of Waiver 27D0934160

Certificate of Waiver 27D2195065