Organization · Type 2 NPI

Providence Health & Services MT

Emergency Medicine Physician · Missoula, MT

NPI number 1497868335 Active

Practice location

500 W. Broadway
Missoula, MT 59802-4008

Call (406) 543-7271 Map

Fax (406) 329-2937

Mailing address

PO Box 31001 - 4114 Providence Health & Services Mt
Pasadena, CA 91110-4114

Specialties and licenses

Taxonomy	Code	License
Emergency Medicine Physician Primary	207P00000X	10606 (MT)

Emergency Medicine Physician: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in respo…

4 other providers at this address

Other emergency medicine physician providers in Missoula

Clark Fork Emergency Physicians PLLCEmergency Medicine Physician Missoula, MT NPI 1538384987

See all in Missoula →

NPI record

NPI: 1497868335
Entity type: Organization (Type 2)
Issued: Aug 16, 2006
Last updated: May 7, 2025
Status: Active
Subpart: Yes of Providence Health & Services

Other names

<unavail>
Providence Medical Group Montana · doing business as
SPH Er Physicians · doing business as
SPH Er Physicians · doing business as

Authorized official

Donald W Anderson
Assistant Secretary Enrollments
(425) 358-9786

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1497868335

Providence Health & Services MT's National Provider Identifier is 1497868335, issued on Aug 16, 2006. The primary taxonomy on file is Emergency Medicine Physician (207P00000X), and the practice location is in Missoula, MT. The record was last updated on May 7, 2025.