PROVIDENCE HEALTH & SERVICES MT
NPI 1881191948
Clinic/Center in Missoula, MT

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

The NPI number for Providence Health & Services Mt is 1881191948. It was assigned to this organization in the NPPES registry on April 6, 2018. The provider is doing business as Providence Medical Group MT - MDPP.

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

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

Active since April 06, 2018

900 N ORANGE ST STE 304, MISSOULA, MT 59802(406) 329-5781(406) 327-3331 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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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 1881191948), doing business as Providence Medical Group Mt - Mdpp, is a healthcare organization registered as a clinic/center in Missoula, Montana and active in the NPI registry since April 2018. The organization lists Donald Wayne Anderson, Assistant Secretary Enrollments, as its authorized official.

NPPES Registry Identity

NPI1881191948

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NamePROVIDENCE HEALTH & SERVICES MT

Location Address900 N ORANGE ST STE 304Missoula, MT 59802-2951

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

Phone(406) 329-5781

Fax(406) 327-3331

Organization SubpartNo

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

Enumeration DateApril 6, 2018

Last NPPES UpdateMay 7, 2025

NPPES CertifiedMay 7, 2025

✔ NPI 1881191948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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).

Also ListedDietitian, Registered · Nutrition, MetabolicTaxonomy 133VN1006X

900 N ORANGE ST STE 304, Missoula, MT 59802

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Other Names 1

Doing Business AsProvidence Medical Group Mt - Mdpp

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 17

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

ERICA BITENCOURT RUBINO RD

Dietitian, Registered