Providence Health & Services Mt
Family Medicine in Missoula, MT. Organization (NPI-2).
NPI number1760618938
StatusActive
Last updated in NPPESMay 7, 2025
Details
- NPI
- 1760618938
- Entity type
- Organization (NPI-2)
- Legal business name
- Providence Health & Services Mt
- Organization subpart
- Yes
- Enumeration date
- Jun 2, 2009
- Certification date
- May 7, 2025
- Last updated
- May 7, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- Sph First Step (Doing Business As)
Practice location
900 N Orange StSuite 107
Missoula, MT 59802-2951
Phone 406-329-5776
Mailing address
Po Box 34439Seattle, WA 98124-1439
Phone 406-329-5776
Authorized official
Donald Wayne Anderson
Assistnat Secretary Enrollments
4253589786
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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