PROVIDENCE HEALTH & SERVICES MT (NPI# 1679865497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679865497 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HEALTH & SERVICES MT |
| Other Organization Name | PMG MT IHI SEELEY SWAN |
| Practice Address |
3050 Highway 83 N Seeley Lake MT 59868 |
| Mailing Address |
Po Box 12 Liberty Lake WA 99019-0012 |
| Practice Telephone | 8663662983 |
| Mailing Telephone | 4063271918 |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2014-02-12 |
| Authorized Official Name | TERRI 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 | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| PMG MT IHI SEELEY SWAN | Doing Business As Name - 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 |
| 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 |
| 1598064628 | Providence Health & Services Mt | Clinic/Center | 601 W Spruce St, Suite A, Missoula, MT 59802-4057 | 2011-03-15 |
| Street Address |
3050 HIGHWAY 83 N |
| City | SEELEY LAKE |
| State | MT |
| Zip Code | 59868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083974661 | Partnership Health Center Inc. | Clinic/Center | 3050 Highway 83 North, Seeley Lake, MT 59868 | 2012-05-17 |
| 1831466267 | Elizabeth T Taylor Layman | Massage Therapist | 3027 Hwy 83 Lazy Pine Mall, Seeley Lake, MT 59868 | 2011-11-30 |
| 1184860660 | Blackfoot Ems, Inc. | Ambulance | 2430 Highway 83, Seeley Lake, MT 59868 | 2009-01-05 |
| 1639326218 | Timothy Jack Wilcox | Psychologist | 265 Wagon Wheel Way, Seeley Lake, MT 59868 | 2008-08-26 |
| 1427134477 | Bundy Management Inc | Pharmacy | 3194 Hwy 83, Seeley Lake, MT 59868 | 2006-10-31 |
| 1629172911 | Kimberley T Grover | Physical Therapist | 3027 Hwy 83, Lazy Pine Mall, Seeley Lake, MT 59868 | 2006-09-08 |
| 1528007291 | Seeley Lake Fire District | Ambulance | 200 Fire House Lane, Seeley Lake, MT 59868 | 2006-06-06 |
| 1134106305 | Bruce K Morgan | Surgery | 4959 Highway 83 North, Seeley Lake, MT 59868 | 2005-12-28 |
| 1346328192 | Bundy Management Inc | Durable Medical Equipment & Medical Supplies | 3194 Hwy 83, Seeley Lake, MT 59868 | 2006-11-01 |
| 1306932678 | Andrew Lance Bohlman | Chiropractor | 3027 Hwy 83, Suite M, Seeley Lake, MT 59868 | 2006-10-05 |
| Find all providers in zip 59868 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912505769 | Abigail Freeman | Physician Assistant | 4046 Sunstone St Unit B, Bozeman, MT 59718-3512 | 2020-10-14 |
| 1033724307 | Jeffrey Austin | Physician Assistant | 345 Coach Ln, Hamilton, MT 59840-9041 | 2020-09-13 |
| 1316556269 | Bronte Heath Schultz | Physician Assistant | 236 15th Ave S, Great Falls, MT 59405-4254 | 2020-07-27 |
| 1285255893 | Teryn Ashli Green | Physician Assistant | 212 5th Ave, Helena, MT 59601-4204 | 2020-05-05 |
| 1669013744 | Marissa Lisette Cadena | Physician Assistant | 16305 Highland Dr, Florence, MT 59833-6068 | 2019-09-30 |
| 1891269973 | Jason Enewold | Physician Assistant | 1424 Scott St, Missoula, MT 59802-2435 | 2019-01-11 |
| 1437626751 | Janel Lea Allison-shamblin | Physician Assistant | 1232 N 15th Ave Ste 1, Bozeman, MT 59715-3299 | 2018-10-24 |
| 1730664723 | Katrin Johanna Kahl | Physician Assistant | 5005 Pattee Canyon Rd, Missoula, MT 59803-1811 | 2018-09-26 |
| 1023591757 | Kaytlin G Deveney | Physician Assistant | 305 W Porphyry St Ste 100, Butte, MT 59701-2000 | 2018-09-09 |
| 1750862876 | Brett A Steinmetz | Physician Assistant | 3525 2nd Ave S, Great Falls, MT 59405-3513 | 2018-08-27 |
| Find all providers with the same taxonomy | ||||
| City | SEELEY LAKE |
| Zip Code | 59868 |
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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.