Providence Medical Group Mt

LBN: Providence Health & Services Mt
Providence Medical Group Mt is an health care organization with primary practice located at 500 W Broadway St , Missoula MT 59802. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Providence Health & Services Mt can be contacted via phone (406) 327-1900, or through Anderson, Donald Wayne via phone (425) 525-5392.

Contact Information

Primary practice address
500 W Broadway St Missoula MT 59802
Phone: (406) 327-1900
Fax: (406) 329-7176
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Donald Wayne
Phone: (425) 525-5392

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X

Profile Details

NPI number 1871825018
LBN Legal business name Providence Health & Services Mt
DBA Doing business as Providence Medical Group Mt
Authorized official Anderson, Donald Wayne
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 12th, 2010
Last updated Aug 21st, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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