Providence Health & Services Mt
NPI 1730325440 · Internal Medicine Physician · Missoula, MT
Providence Health & Services Mt is a Internal Medicine Physician organization in Missoula, MT (NPI 1730325440).
Provider details
- NPI number
- 1730325440
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Providence Health & Services
- Organization subpart
- Yes
- Authorized official
- Kirk Bodlovic, Cfo(406) 327-1918
- License
- 0411866 (MT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
- Pmg Mt Montana Internal Med
Registry dates
- Enumerated
- 2008-12-30
- Last updated
- 2013-11-22
Frequently asked questions
- What is Providence Health & Services Mt's NPI number?
- Providence Health & Services Mt's National Provider Identifier (NPI) is 1730325440, 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 Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Providence Health & Services Mt located?
- Providence Health & Services Mt's practice location on file with NPPES is 2819 Great Northern Loop, Missoula, MT 59808-1750.
- 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) 543-1197.
- Who is the authorized official for Providence Health & Services Mt?
- The authorized official listed on Providence Health & Services Mt's NPPES record is Kirk Bodlovic, Cfo. 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 (1730325440) is active in the NPPES registry as of the last update on 2013-11-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.