OrganizationActive
Providence Surgery Center
NPI 1407860745 · Ambulatory Surgical Clinic/Center · Missoula, MT
Provider details
- NPI number
- 1407860745
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shelley Longgood, Administrator(406) 327-3300
- License
- 10708 (MT)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
902 N Orange St
Missoula, MT 59802-2916
Phone: (406) 327-3300
Fax: (406) 327-3302
Approximate (ZIP-level) locationGet directions
Mailing address
902 N Orange St
Missoula, MT 59802-2916
Registry dates
- Enumerated
- 2006-07-29
- Last updated
- 2024-12-31
- Certified
- 2024-12-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.