| NPI | 1215222617 |
|---|---|
| Doing Business As | PROVIDENCE MEDICAL GROUP MONTANA |
| Entity Type | Organization |
| Authorized Contact | DONALD W ANDERSON Dir Reimb Reg Strat/Asst Sec Enroll 425-525-5392 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 207R00000X Internal Medicine | |
| 207RB0002X Internal Medicine, Bariatric Medicine | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine | |
| 207RI0200X Internal Medicine, Infectious Disease | |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| 314000000X Skilled Nursing Facility | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2024-05-28 |