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Contact Information

PROVIDENCE HEALTH & SERVICES MT
500 W BROADWAY ST
MISSOULA, MT59802-4008
 Phone: 406-543-7271
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
 

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for PROVIDENCE HEALTH & SERVICES MT

NPI # 1972811768
LBN Legal business name PROVIDENCE HEALTH & SERVICES MT
Authorized official TERI MASTERS - (RCM OPERATIONS MGR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 09/15/2010
Last updated 07/22/2011 - About 15 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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