Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Providence Health & Services Mt

Organization Clinical Social Worker · NPI 1215222617

Providence Health & Services Mt is a Clinical Social Worker in Missoula, Montana. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
15
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

500 W Broadway St
Missoula, MT 59802-4008
Phone: (406) 543-7271
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Clinical Social Worker Taxonomy 1041C0700X
Internal Medicine Physician Taxonomy 207R00000X
Obesity Medicine (Internal Medicine) Physician Taxonomy 207RB0002X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X
Hospice and Palliative Medicine (Internal Medicine) Physician Taxonomy 207RH0002X
Infectious Disease Physician Taxonomy 207RI0200X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Pediatrics Physician Taxonomy 208000000X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X
Spinal Cord Injury Medicine Physician Taxonomy 2081P0004X
Interventional Pain Medicine Physician Taxonomy 208VP0014X
Skilled Nursing Facility Taxonomy 314000000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1215222617
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProvidence Health & Services
Authorized official Donald Anderson — Assistant Secretary Enrollments · (425) 358-9786
Other names Providence Medical Group Montana; Providence Medical Group Montana
NPI enumeratedJune 14, 2011
Last updated in NPPESMay 6, 2025
Certification dateMay 6, 2025
Mailing addressPo Box 31001 - 4114, Pasadena, CA 91110-4114

Other providers in Missoula