PROVIDENCE HEALTH & SERVICES MT
NPI 1558407312
Family Medicine in Stevensville, MT

NPI Status: Active since January 29, 2007

Contact Information

715 MAIN ST
SUITE A
STEVENSVILLE, MT
ZIP 59870
Phone: (406) 777-5522
Fax: (406) 777-1175

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  • Organization
  • Family Medicine
  • Accepts Insurance
  • CLIA Number: 27D0901560
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-31-2027

About PROVIDENCE HEALTH & SERVICES MT

This page provides the complete NPI Profile along with additional information for Providence Health & Services Mt, a primary care provider established in Stevensville, Montana operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1558407312 assigned on January 2007. The practitioner's primary taxonomy code is 207Q00000X with license number NA (). The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's . The authorized official of this NPI record is Donald Wayne Anderson Jr. (Assistant Secretary Enrollments)

NPI
1558407312
Provider Legal Name
PROVIDENCE HEALTH & SERVICES MT
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
715 MAIN ST SUITE A STEVENSVILLE, MT 59870
Location Phone
(406) 777-5522
Location Fax
(406) 777-1175
Mailing Address
PO BOX 31001 - 4114 PASADENA, CA 91110
Mailing Phone
(406) 777-5522
Mailing Fax
(406) 777-1175
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-29-2007
Last Update Date
05-07-2025
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A primary care provider (PCP) like Providence Health & Services Mt sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
NA
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Preferred Bronze PPO? 201 - PPO
  • Blue Preferred Bronze PPO? 202 - PPO
  • Blue Preferred Bronze PPO? Standard - PPO
  • Blue Preferred Gold PPO? 204 - PPO
  • Blue Preferred Gold PPO? 901 - PPO
  • Blue Preferred Gold PPO? Standard - PPO
  • Blue Preferred Security PPO? 200 - PPO
  • Blue Preferred Silver PPO? 203 - PPO
  • Blue Preferred Silver PPO? 308 - PPO
  • Blue Preferred Silver PPO? Standard - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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 WAYNE ANDERSON JR.

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

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
27D0901560
Facility Type
Physician Office
Certificate Effective Date
September 01, 2025
Certificate Expiration Date
August 31, 2027
Laboratory Director
DR. LAURA SHELTON
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Providence Health & Services Mt in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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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 1558407312, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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
5
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
8
Unchanged
Pos 5
4
Doubled → 8
Pos 6
0
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
3
Unchanged
Pos 9
1
Doubled → 2
Check
2
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 5 → 10 → 1 4 → 8 7 → 14 → 5 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 1 + 0 + 8 + 8 + 0 + 1 + 4 + 3 + 2 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1558407312.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Plastic Surgery
715 MAIN ST, SUITE B
STEVENSVILLE, MT 59870
Psychologist
715 MAIN ST, SUITE C
STEVENSVILLE, MT 59870
Clinic/Center (Medical Specialty)
715 MAIN ST, SUITE B
STEVENSVILLE, MT 59870
Social Worker (Clinical)
715 MAIN ST
STEVENSVILLE, MT 59870
Nurse Practitioner (Family)
715 MAIN ST
STEVENSVILLE, MT 59870
Dermatology (MOHS-Micrographic Surgery)
715 MAIN ST
STEVENSVILLE, MT 59870
Family Medicine
715 MAIN ST
STEVENSVILLE, MT 59870
Nurse Practitioner (Family)
715 MAIN ST
STEVENSVILLE, MT 59870

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558407312, enumerated as an "organization" on January 29, 2007.

The provider is located at 715 MAIN ST SUITE A STEVENSVILLE, MT 59870 and the phone number is (406) 777-5522.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana. Please consult your insurance carrier or call the provider to verify.