PROVIDENCE HEALTH & SERVICES MT (NPI# 1053613356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053613356 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HEALTH & SERVICES MT |
| Other Organization Name | PMG MT IHI STEVENSVILLE |
| Practice Address |
715 Main Street Ste A Stevensville MT 59870-2861 |
| Mailing Address |
Po Box 34439 Seattle WA 98124-1439 |
| Practice Telephone | 4067775522 |
| Practice Fax Number | 4065417001 |
| Mailing Telephone | 4063295615 |
| Mailing Fax Number | 4063295606 |
| Enumeration Date | 2010-11-19 |
| Last Update Date | 2011-06-22 |
| Authorized Official Name | MRS. TERI MASTERS (RCM OPERATIONS MANAGER) |
| Authorized Official Telephone | 4063295795 |
| Is Organization Subpart | Y |
| Parent Organization Name | PROVIDENCE HEALTH & SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| Other Name | Type Code |
|---|---|
| PMG MT IHI Stevensville | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326483587 | Providence Health & Services Mt | Internal Medicine | 24001 East Mission Ave. Ste 105, Providence Healtlh and Services, Montana, Liberty Lake, WA 99019-0012 | 2013-05-01 |
| 1679865497 | Providence Health & Services Mt | Physician Assistant | 3050 Highway 83 N, Seeley Lake, MT 59868 | 2011-05-12 |
| 1427281203 | Providence Health & Services Mt | Internal Medicine | 500 W Broadway Street, Missoula, MT 59802-4096 | 2009-08-27 |
| 1538394267 | Providence Health & Services Mt | Internal Medicine | 435 S Crystal St Ste 240, Butte, MT 59701-1523 | 2009-05-26 |
| 1871750554 | Providence Health & Services Mt | Internal Medicine | 300 W Mercury Street, Butte, MT 59701-1652 | 2008-05-20 |
| 1518124379 | Providence Health & Services Mt | Internal Medicine | 1102 E Commercial Ave, Anaconda, MT 59711-2718 | 2008-05-20 |
| 1881191948 | Providence Health & Services Mt | Clinic/Center | 900 N Orange St Ste 304, Missoula, MT 59802-2951 | 2018-04-06 |
| 1174074827 | Providence Health & Services Mt | Nurse Practitioner | 500 W Broadway St, Missoula, MT 59802-4008 | 2016-10-18 |
| 1720477953 | Providence Health & Services Mt | Neurological Surgery | 500 W Broadway St, Missoula, MT 59802-4008 | 2015-01-12 |
| 1215222617 | Providence Health & Services Mt | Internal Medicine | 500 W Broadway St, Missoula, MT 59802-4008 | 2011-06-14 |
| Street Address |
715 MAIN STREET STE A |
| City | STEVENSVILLE |
| State | MT |
| Zip Code | 59870-2861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396227724 | Harp Occupational Therapy and Wellness, LLC | Occupational Therapist | 603 Saint Marys Road, Stevensville, MT 59870 | 2018-09-01 |
| 1831554849 | Melissa Zielinske | Social Worker | 112 Houk Lane, Stevensville, MT 59870 | 2015-12-17 |
| 1003951971 | Corrine F Campbell | Physical Therapist | 4828 Eastside Hwy, Suite 101, Stevensville, MT 59870 | 2007-02-20 |
| 1902951122 | Barry Ervin Yaskus | Dentist | 201 Barbara St., Stevensville, MT 59870 | 2007-01-25 |
| 1679583892 | Mark Paul | Family Medicine | 3800 Eastside Hwy, Stevensville Community Medical Center, Stevensville, MT 59870 | 2006-08-09 |
| 1376917567 | Sharlyssa Eline Duncan | Massage Therapist | 212 Main Street, Stevensville, MT 59870 | 2015-11-25 |
| 1164718813 | Thomas Douglas Frandsen | Family Medicine | 3800 Eastside Hwy, Stevensville, MT 59870 | 2011-06-21 |
| 1447452594 | Renee L. Rambo | Physical Therapist | 63 Main St., Stevensville, MT 59870 | 2007-06-01 |
| 1972705234 | Lynne L. Hersom | Occupational Therapist | 63 Main St, Stevensville, MT 59870 | 2007-05-31 |
| 1760684005 | Patricia White Hutcheson | Physical Therapist | 63 Main St, Stevensville, MT 59870 | 2007-05-31 |
| Find all providers in zip 59870 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700951761 | St. James Healthcare | General Acute Care Hospital | 400 South Clark St, Butte, MT 59701-2328 | 2006-11-22 |
| 1902908262 | Roundup Memorial Hospital Association | General Acute Care Hospital | 1207 Second St W, Roundup, MT 59072-1835 | 2006-09-05 |
| 1861409955 | U S Health Dept of Health & Human Services | General Acute Care Hospital | 760 Hospital Circle, Browning, MT 59417 | 2006-08-02 |
| 1639109978 | Cmsc, LLC | General Acute Care Hospital | 3010 15th Ave S, Great Falls, MT 59405-5240 | 2006-07-03 |
| 1104295864 | Bozeman Health Deaconess Hospital | General Acute Care Hospital | 915 Highland Blvd, Bozeman, MT 59715-6902 | 2015-09-23 |
| 1265801559 | Bozeman Health Big Sky Medical Center, LLC | General Acute Care Hospital | 334 Town Center Avenue, Big Sky, MT 59716 | 2015-09-17 |
| 1346642899 | Rchp Billings - Missoula LLC | General Acute Care Hospital | 2827 Fort Missoula Rd, Missoula, MT 59804-7408 | 2014-09-16 |
| 1952668212 | Montana Anesthesia Pllc | General Acute Care Hospital | 465 Flood Rd, Great Falls, MT 59404-6403 | 2012-04-11 |
| 1437422151 | Kayla Denise Butcher | General Acute Care Hospital | 2621 15th Ave S, Great Falls, MT 59405-5201 | 2012-02-10 |
| 1053683706 | St Vincent Healthcare | General Acute Care Hospital | 1233 N 30th St, Billings, MT 59101-0127 | 2012-01-27 |
| Find all providers with the same taxonomy | ||||
| City | STEVENSVILLE |
| Zip Code | 59870 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.