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Contact Information

PROVIDENCE HEALTH & SERVICES MT
902 N ORANGE ST
MISSOULA, MT59802-2928
 Phone: 406-542-7271
 Fax: 406-329-5877
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric Unit

273R00000X A0[7] Hospital-Psychiatric Unit
Indicates primary specialty

NPI Profile & details for PROVIDENCE HEALTH & SERVICES MT

NPI # 1619058302
LBN Legal business name PROVIDENCE HEALTH & SERVICES MT
Authorized official DONALD ANDERSON - (ASSISTANT SECRETARY ENROLLMENTS)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/18/2006
Last updated 05/05/2025 - More than a year ago
Identifiers
MT License # 10606
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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