| NPI | 1174074827 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2016-10-18 |
| Last Updated | 2025-05-05 |
| Authorized Official | Donald Anderson ASSISTANT SECRETARY ENROLLMENTS Phone: 4253589786 |
| Mailing Address | Po Box 12 Liberty Lake, WA 99019-0012 United States Phone: (866) 747-2455 📍 View Map |
| Primary Practice Address | 500 W Broadway St Missoula, MT 59802-4008 United States Phone: (406) 543-7271 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 363L00000X – Nurse Practitioner | - | - |
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About NPI 1174074827
Providence Health & Services Mt is an organization registered in the CMS NPPES NPI Registry with NPI number 1174074827. The primary specialty listed is Nurse Practitioner. The organization is located in Missoula, MT. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2016-10-18. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1174074827?
NPI 1174074827 belongs to Providence Health & Services Mt, a Nurse Practitioner in Missoula, MT. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1174074827 active?
The current status of NPI 1174074827 in the NPPES registry is Active. The record was last updated on 2025-05-05.
What specialty is NPI 1174074827?
NPI 1174074827 is classified under the taxonomy Nurse Practitioner. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1174074827?
You can verify NPI 1174074827 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1174074827?
The primary practice address on file for NPI 1174074827 is 500 W Broadway St, Missoula, MT 59802-4008. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1174074827 issued?
NPI 1174074827 was first issued (enumerated) on 2016-10-18. The NPPES record was last updated on 2025-05-05.
Practice Location Map
Providence Health & Services Mt is located at 500 W Broadway St, Missoula, MT. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Providence Health & Services Mt. All records sourced from the CMS NPPES registry.