Providence Health & Services Mt
NPI 1215222617 · Family Medicine Physician · Missoula, MT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Providence Health & Services Mt is a Family Medicine Physician organization in Missoula, MT (NPI 1215222617).
Provider details
- NPI number
- 1215222617
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Providence Health & Services
- Organization subpart
- Yes
- Authorized official
- Donald Anderson, Assistant Secretary Enrollments(425) 358-9786
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Cardiovascular Disease Physician207RC0000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Providence Medical Group Montana
- Doing business as
- Providence Medical Group Montana
Registry dates
- Enumerated
- 2011-06-14
- Last updated
- 2025-05-06
- Certified
- 2025-05-06
Frequently asked questions
- What is Providence Health & Services Mt's NPI number?
- Providence Health & Services Mt's National Provider Identifier (NPI) is 1215222617, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Health & Services Mt?
- Providence Health & Services Mt is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Providence Health & Services Mt located?
- Providence Health & Services Mt's practice location on file with NPPES is 500 W Broadway St, Missoula, MT 59802-4008.
- What is Providence Health & Services Mt's phone number?
- The practice phone number listed in the NPPES registry for Providence Health & Services Mt is (406) 543-7271.
- Does Providence Health & Services Mt accept Medicare?
- Providence Health & Services Mt is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Providence Health & Services Mt?
- The authorized official listed on Providence Health & Services Mt's NPPES record is Donald Anderson, Assistant Secretary Enrollments. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Health & Services Mt's NPI active?
- Yes — Providence Health & Services Mt's NPI (1215222617) is active in the NPPES registry as of the last update on 2025-05-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.