National Provider Identifier Database

PROVIDENCE HEALTH SERVICES MT
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

PROVIDENCE HEALTH & SERVICES MT
500 W BROADWAY ST
MISSOULA, MT59802-4096
Phone: 406-327-1613
Fax:
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X
Hospitalist 208M00000X

* Indicates primary specialty

NPI Profile & details for PROVIDENCE HEALTH & SERVICES MT

NPI Number 1154562981
Legal business name
LBN
PROVIDENCE HEALTH & SERVICES MT
Authorized official DONALD ANDERSON - (ASSISTANT SECRETARY ENROLLMENT)
Entity Organization
Organization subpart Yes
Enumeration date 03/06/2009
Last updated 05/06/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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