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Organization

Providence Health & Services Mt

NPI Record: ActivePhysical Medicine & Rehabilitation — Spinal Cord Injury Medicine
NPI1063653897
Missoula, Montana

Provider's NPPES record last updated: May 6, 2025

Overview

Entity Type
Organization
NPI
1063653897
Primary Specialty
Physical Medicine & Rehabilitation — Spinal Cord Injury Medicine
Practice Location
Missoula, Montana
Organization Subpart
Yes
Parent Organization
Providence Health & Services

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 1:15 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Physical Medicine & Rehabilitation

    Spinal Cord Injury Medicine

    Allopathic & Osteopathic Physicians

    Primary

    A physician who addresses the prevention, diagnosis, treatment and management of traumatic spinal cord injury and non-traumatic etiologies of spinal cord dysfunction by working in an interdisciplinary manner. Care is provided to patients of all ages on a lifelong basis and covers related medical, physical, psychological and vocational disabilities and complications.

    Taxonomy code 2081P0004X
  • Clinic/Center

    Pain

    Ambulatory Health Care Facilities

    Definition to come...

    Taxonomy code 261QP3300X

Practice Locations

Practice Location

500 W Broadway St

3rd Floor

Missoula, Montana 59802-4096

Phone: (406) 327-1670

Other Names

  • Pmg Mt Spine & PainReported April 24, 2025
  • Pmg Mt Spine & PainReported June 29, 2011
  • Providence Medical Group MontanaReported April 24, 2025

Record Information

Enumeration Date
March 6, 2009
Provider's NPPES Record Last Updated
May 6, 2025
Certification Date
May 6, 2025
NPISignal NPPES Dataset
August 2026

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