NPI Verification
National Provider Identifier: 1215222617
Providence Health & Services Mt
Organization
Primary Specialty
Family Medicine
Code: 207Q00000X
All Specialties (15)
Social Worker, Clinical
Code: 1041C0700X
Internal Medicine
Code: 207R00000X
Internal Medicine, Bariatric Medicine
Code: 207RB0002X
Internal Medicine, Cardiovascular Disease
Code: 207RC0000X
Internal Medicine, Endocrinology, Diabetes & Metabolism
Code: 207RE0101X
Internal Medicine, Hospice and Palliative Medicine
Code: 207RH0002X
Internal Medicine, Infectious Disease
Code: 207RI0200X
Obstetrics & Gynecology
Code: 207V00000X
Pediatrics
Code: 208000000X
Physical Medicine & Rehabilitation
Code: 208100000X
Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine
Code: 2081P0004X
Pain Medicine, Interventional Pain Medicine
Code: 208VP0014X
Skilled Nursing Facility
Code: 314000000X
Nurse Practitioner
Code: 363L00000X
Family Medicine
Code: 207Q00000X
Practice Address
500 W BROADWAY ST
MISSOULA, MT 598024008
Phone: 406-543-7271
NPI Enumeration Date
June 14, 2011
NPI Number
1215222617Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.
View on CMS NPPES Registry