OrganizationActive
Providence Health & Services Mt
NPI 1598064628 · Clinic/Center · Missoula, MT
Provider details
- NPI number
- 1598064628
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Providence Health & Services
- Organization subpart
- Yes
- Authorized official
- Donald Anderson, Assistant Secretary Enrollments(425) 358-9786
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(82/100 index)
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
601 W Spruce St
Suite a
Missoula, MT 59802-4057
Phone: (406) 329-2945
Fax: (406) 329-2938
Street-level locationGet directions
Mailing address
Po Box 34439
Seattle, WA 98124-1439
Other names (DBA / former)
- Doing business as
- Pmg Mt Ihi Cpam
Registry dates
- Enumerated
- 2011-03-15
- Last updated
- 2025-05-05
- Certified
- 2025-05-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.