Providence Medical Group Montana Neurosurgical Specialists
LBN: Providence Health & Services Mt
Providence Medical Group Montana Neurosurgical Specialists is an health care organization with primary practice located at 500 W Broadway St , Missoula MT 59802-4008. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as the primary health care specialty.
Providence Health & Services Mt can be contacted via phone (406) 327-1918, or through Anderson, Donald W via phone (425) 525-5392.
Contact Information
Primary practice address
500 W Broadway St
Missoula MT 59802-4008
Phone: (406) 327-1918
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 9574 | Montana |
Profile Details
| NPI number | 1720477953 |
|---|---|
| LBN Legal business name | Providence Health & Services Mt |
| DBA Doing business as | Providence Medical Group Montana Neurosurgical Specialists |
| Authorized official | Anderson, Donald W |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 12th, 2015 |
| Last updated | Oct 22nd, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720477953 | NPPES |
| Montana | Other | M000009936 | MEDICARE GROUP PTAN |
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