Providence Health & Services Mt
NPI 1215222617ActiveOrganization· Family Medicine· Missoula, MT
Family Medicine in Missoula, Montana, registered in NPPES in June 2011, part of Providence Health & Services. The authorized official on file is Donald W. Anderson, Assistant Secretary Enrollments. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1215222617 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Providence Health & Services |
| NPI issued | Jun 14, 2011 |
| Last updated in NPPES | May 6, 2025 |
| Certified by provider | May 6, 2025 |
Specialties and licenses
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AK); Part B Supplier - Clinic/Group Practice (AZ); Part B Supplier - Clinic/Group Practice (CA); Part B Supplier - Clinic/Group Practice (CO); Part B Supplier - Clinic/Group Practice (DC); Part B Supplier - Clinic/Group Practice (FL); Part B Supplier - Clinic/Group Practice (HI); Part B Supplier - Clinic/Group Practice (IL); Part B Supplier - Clinic/Group Practice (MI); Part B Supplier - Clinic/Group Practice (MN); Part B Supplier - Clinic/Group Practice (MO); Part B Supplier - Clinic/Group Practice (NC); Part B Supplier - Clinic/Group Practice (NE); Part B Supplier - Clinic/Group Practice (NJ); Part B Supplier - Clinic/Group Practice (NV); Part B Supplier - Clinic/Group Practice (NY); Part B Supplier - Clinic/Group Practice (OR); Part B Supplier - Clinic/Group Practice (TN); Part B Supplier - Clinic/Group Practice (TX); Part B Supplier - Clinic/Group Practice (UT); Part B Supplier - Clinic/Group Practice (WA); Part B Supplier - Clinic/Group Practice (WI) |
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