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PROVIDENCE HEALTH & SERVICES MT
NPI 1467521104
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Butte, MT

Active since November 07, 2006
400 S CLARK ST, BUTTE, MT 59701(406) 723-2505 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: November 01, 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 1467521104), doing business as St Patrick Hosp Esrd Butte, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Butte, Montana and active in the NPI registry since November 2006. The organization lists Donald Wayne Anderson, Assistant Secretary Enrollment, as its authorized official.

NPPES Registry Identity

NPI1467521104
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NamePROVIDENCE HEALTH & SERVICES MT
Location Address400 S CLARK STButte, MT 59701-2328
Mailing AddressPo Box 3974Seattle, WA 98124-3974 · (406) 723-2505
Phone(406) 723-2505
Organization SubpartYesParent: Providence Health & Services
Authorized OfficialDonald Wayne AndersonAssistant Secretary Enrollment · (425) 358-9786
Enumeration DateNovember 7, 2006
Last NPPES UpdateMay 5, 2025
NPPES CertifiedMay 5, 2025
✔ NPI 1467521104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
License✔ Licensed in MT · 10606
400 S CLARK ST, Butte, MT 59701
Open in Google Maps ↗

Other Names 1

Doing Business AsSt Patrick Hosp Esrd Butte

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Providence Health & Services Mt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

325

Medicare enrollment records show 325 clinicians reassign Medicare billing to Providence Health & Services Mt, which bills Medicare for the services they deliver. Of these, 1 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 41

Nurse Practitioner66
Family Practice22
Emergency Medicine19
Neurology19
Cardiovascular Disease (Cardiology)18
Clinical Social Worker18
Internal Medicine17
General Surgery14
33 other specialties132

Nearest to this location (20)

See all 325
Wendy Grace, MD
Hospitalist
NPI 1265743348
400 S CLARK ST
Butte, MT 59701
(406) 723-2500
✔ PECOS✔ Accepts MedicareSame address
Cindy Sharp, MD
Nephrology
NPI 1629138797
931 HIGHLAND BLVD STE 3260
Bozeman, MT 59715
(406) 414-2410
✔ PECOS✔ Accepts Medicare77 mi
Dane Sobek, MD
Interventional Cardiology
NPI 1043257306
937 HIGHLAND BLVD STE 5510
Bozeman, MT 59715
(406) 414-3959
✔ PECOS✔ Accepts Medicare77 mi
Anthony Navone, M.D.
Cardiovascular Disease (Cardiology)
NPI 1649244369
1200 WESTWOOD DR
Hamilton, MT 59840
(406) 375-4665
✔ PECOS✔ Accepts Medicare80 mi
Sarah Beck, M.D.
Internal Medicine
NPI 1629310370
1200 WESTWOOD DR
Hamilton, MT 59840
(406) 363-2211
✔ PECOS✔ Accepts Medicare80 mi
Brett Mollenhauer
Nurse Practitioner
NPI 1649747791
1200 WESTWOOD DR
Hamilton, MT 59840
(406) 375-4440
✔ PECOS✔ Accepts Medicare80 mi
Gabriel Charbonneau, M.D.
Family Practice
NPI 1295932515
715 MAIN ST STE A
Stevensville, MT 59870
(406) 777-5522
✔ PECOS✔ Accepts Medicare82 mi
Shelby Schultz, LCSW
Clinical Social Worker
NPI 1396124913
715 MAIN ST
Stevensville, MT 59870
(406) 777-5522
✔ PECOS✔ Accepts Medicare82 mi
Adam Deutchman, MD
General Surgery
NPI 1750331757
805 MAIN ST
Salmon, ID 83467
(208) 756-6212
✔ PECOS✔ Accepts Medicare87 mi
Kevin Eichhorn, MD
Emergency Medicine
NPI 1114976297
SAINT PATRICK HOSPITAL EMERGENCY DEPARTMENT 500 WEST BROADWAY
Missoula, MT 59801
(406) 329-5635
✔ PECOS✔ Accepts Medicare91 mi
Travis Abicht, MD
Thoracic Surgery
NPI 1033239835
500 W BROADWAY ST
Missoula, MT 59802
(406) 329-5615
✔ PECOS✔ Accepts Medicare91 mi
Bryan Davis
Pain Management
NPI 1205361276
500 W BROADWAY ST # 3
Missoula, MT 59802
(406) 327-1670
✔ PECOS✔ Accepts Medicare91 mi
Kasey Harbine, MD
Hospitalist
NPI 1598717563
500 W BROADWAY ST
Missoula, MT 59802
(406) 327-1613
✔ PECOS✔ Accepts Medicare91 mi
Aurora Norman, MD
Hematology/Oncology
NPI 1053976514
500 W BROADWAY ST
Missoula, MT 59802
(406) 728-2539
✔ PECOS✔ Accepts Medicare91 mi
Jeffrey Stephenson, MD
Radiation Oncology
NPI 1053312900
500 W BROADWAY ST
Missoula, MT 59802
(406) 329-5655
✔ PECOS✔ Accepts Medicare91 mi
Nicholas Mantini
Cardiac Electrophysiology
NPI 1588808646
500 W BROADWAY ST STE 320
Missoula, MT 59802
(406) 329-5615
✔ PECOS✔ Accepts Medicare91 mi
Nora Abdullah, MD
Psychiatry
NPI 1295354298
900 N ORANGE ST STE 202
Missoula, MT 59802
(406) 327-3362
✔ PECOS✔ Accepts Medicare92 mi
Ingrid Hazlett, APRN, AGCNS-BC
Certified Clinical Nurse Specialist (CNS)
NPI 1134585102
900 N ORANGE ST STE 304
Missoula, MT 59802
(406) 329-5781
✔ PECOS✔ Accepts Medicare92 mi
Tara Lemm, RD
Registered Dietitian or Nutrition Professional
NPI 1508247255
900 N ORANGE ST STE 304
Missoula, MT 59802
(529) 251-5828
✔ Accepts Medicare92 mi
Shannon Mcnabb, LCPC
Mental Health Counselor
NPI 1689063000
900 N ORANGE ST STE 304
Missoula, MT 59802
(406) 327-3362
✔ PECOS✔ Accepts Medicare92 mi
See all 325 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1467521104. It was assigned to this organization in the NPPES registry on November 7, 2006. The provider is doing business as St Patrick Hosp ESRD Butte.

Where is Providence Health & Services Mt located?

Providence Health & Services Mt is located at 400 S Clark St, Butte, MT 59701. The listed phone number is (406) 723-2505.

What is Providence Health & Services Mt's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Is Providence Health & Services Mt enrolled in Medicare?

Yes. Providence Health & Services Mt is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Providence Health & Services Mt?

According to the CMS Revalidation Reassignment List (October 2026 release), 325 clinicians in 41 Medicare specialties reassign their Medicare billing to Providence Health & Services Mt. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (66), Family Practice (22) and Emergency Medicine (19). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 18 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.