PROVIDENCE HEALTH & SERVICES MT
NPI 1598064628
Clinic/Center in Missoula, MT

Active since March 15, 2011
601 W SPRUCE ST, SUITE A, MISSOULA, MT 59802(406) 329-2945(406) 329-2938 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 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 1598064628), doing business as Pmg Mt Ihi Cpam, is a healthcare organization registered as a clinic/center in Missoula, Montana and active in the NPI registry since March 2011. The organization lists Donald Wayne Anderson, Assistant Secretary Enrollments, as its authorized official.

NPPES Registry Identity

NPI1598064628
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES MT
Location Address601 W SPRUCE ST, SUITE AMissoula, MT 59802-4057
Mailing AddressPo Box 34439Seattle, WA 98124-1439 · (406) 329-2945 · Fax (406) 329-2938
Fax(406) 329-2938
Organization SubpartYesParent: Providence Health & Services
Authorized OfficialDonald Wayne AndersonAssistant Secretary Enrollments · (425) 358-9786
Enumeration DateMarch 15, 2011
Last NPPES UpdateMay 5, 2025
NPPES CertifiedMay 5, 2025
✔ NPI 1598064628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
601 W SPRUCE ST, Missoula, MT 59802

Other Names 1

Doing Business AsPmg Mt Ihi Cpam

Accepted Insurance

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, 18 practice at this address and 216 within 10 miles. 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
Hospice/Palliative Care
NPI 1255573374
601 W SPRUCE ST STE K
Missoula, MT 59802
(406) 327-1950
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1457924433
601 W SPRUCE ST STE K
Missoula, MT 59802
(406) 327-1950
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1295750636
601 W SPRUCE ST STE K
Missoula, MT 59802
(406) 327-3330
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1285238873
601 W SPRUCE ST STE A
Missoula, MT 59802
(406) 728-3111
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1033689641
601 W SPRUCE ST STE A
Missoula, MT 59802
(406) 728-3111
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1043716426
601 W SPRUCE ST STE J
Missoula, MT 59802
(406) 327-3350
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1689290991
601 W SPRUCE ST STE K
Missoula, MT 59802
(406) 327-3330
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1801548672
601 W SPRUCE ST STE J
Missoula, MT 59802
(406) 327-3350
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1013438902
601 W SPRUCE ST STE J
Missoula, MT 59802
(406) 327-3350
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1003047960
601 W SPRUCE ST STE A
Missoula, MT 59802
(406) 728-3111
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1477024719
601 W SPRUCE ST STE J
Missoula, MT 59802
(406) 327-3350
✔ PECOS✔ Accepts MedicareSame address
Hospice/Palliative Care
NPI 1407055130
601 W SPRUCE ST STE K
Missoula, MT 59802
(406) 543-7271
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1811642010
601 W SPRUCE ST STE A
Missoula, MT 59802
(406) 728-3111
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1225546070
601 W SPRUCE ST STE J
Missoula, MT 59802
(406) 327-3350
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1447663422
601 W SPRUCE ST STE A
Missoula, MT 59802
(406) 728-3111
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1467995928
601 W SPRUCE ST STE J
Missoula, MT 59802
(406) 327-3350
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1093135741
601 W SPRUCE ST STE J
Missoula, MT 59802
(406) 327-3350
✔ PECOSSame address
Nurse Practitioner
NPI 1376713594
601 W SPRUCE ST STE K
Missoula, MT 59802
(406) 327-1950
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1891748919
500 W BROADWAY ST
Missoula, MT 59802
(406) 543-7271
✔ PECOS✔ Accepts Medicare0.1 mi
General Surgery
NPI 1033472519
500 W BROADWAY ST
Missoula, MT 59802
(406) 329-5828
✔ PECOS✔ Accepts Medicare0.1 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 1598064628. It was assigned to this organization in the NPPES registry on March 15, 2011. The provider is doing business as Pmg Mt Ihi Cpam.

Where is Providence Health & Services Mt located?

Providence Health & Services Mt is located at 601 W Spruce St Suite A, Missoula, MT 59802. The listed phone number is (406) 329-2945.

What is Providence Health & Services Mt's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

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, 18 practice at this address and 216 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 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.