Active NPI
St. Patrick Hospital and Health Sciences Center
- Women's Health Nurse Practitioner
- Missoula, MT
National Provider Identifier
1003067182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- HAN1-0433-7045
- Legal business name
- ST. PATRICK HOSPITAL AND HEALTH SCIENCES CENTER
- Practice address
- 500 W Broadway St # Level3
Missoula, MT 59802-4008 - Phone
- (406) 327-3057
- Fax
- (406) 327-3231
- NPI assigned
- Oct 7, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donald Wayne Anderson Jr.
- Title
- Assistant Secretary Enrollment
- Phone
- (425) 358-9786
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | HAN1-0433-7045 | MT | Primary |
Addresses
Primary practice location
500 W Broadway St # Level3
Missoula, MT 59802-4008
Mailing address
500 W Broadway Level 3
Missoula, MT 59802
Phone (406) 327-3057
Other names 1
- Women's Care Center
National Provider Directory
National Provider Directory- Tax ID family
- Ihi Outreach
Other organizations with this tax ID 38
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Missoula, MT
- NPI 1083578314
-
- Emergency Medical Services (Emergency Medicine) Physician
- Missoula, MT
- NPI 1124268966
-
- Obesity Medicine (Internal Medicine) Physician
- Missoula, MT
- NPI 1124268982
-
- Cardiovascular Disease Physician
- Missoula, MT
- NPI 1144538505
-
- Nurse Practitioner
- Missoula, MT
- NPI 1174074827
-
- Endocrinology, Diabetes & Metabolism Physician
- Missoula, MT
- NPI 1235370065
-
- Physical Medicine & Rehabilitation Physician
- Missoula, MT
- NPI 1306086160
-
- Clinical Medical Laboratory
- Missoula, MT
- NPI 1316605637
-
- Infectious Disease Physician
- Missoula, MT
- NPI 1336380161
-
- Cardiovascular Disease Physician
- Deer Lodge, MT
- NPI 1407013261
-
- Internal Medicine Physician
- Missoula, MT
- NPI 1407151616
-
- Obstetrics & Gynecology Physician
- Missoula, MT
- NPI 1417198243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223337600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746489600000",
"number": "1003067182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 W BROADWAY LEVEL 3",
"city": "MISSOULA",
"state": "MT",
"postal_code": "59802",
"telephone_number": "406-327-3057",
"fax_number": "406-327-3231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W BROADWAY ST # LEVEL3",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598024008",
"telephone_number": "406-327-3057",
"fax_number": "406-327-3231"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. PATRICK HOSPITAL AND HEALTH SCIENCES CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-07",
"last_updated": "2025-05-06",
"certification_date": "2025-05-06",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "WAYNE",
"authorized_official_title_or_position": "ASSISTANT SECRETARY ENROLLMENT",
"authorized_official_telephone_number": "425-358-9786",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Women's Health",
"state": "MT",
"license": "HAN1-0433-7045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Women's Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Missoula, MT
- Emily St. John
- Nichole St. John, LMT
- St. Patrick Hospital & Health Sciences Center
- St. Patrick Hospital & Health Sciences Center
- St. Patrick Hospital & Health Sciences Center
- St. Patrick Hospital Corp
- Jessica Stabnau
- Stacey de Witt LCPC LLC (Stacey M de Witt Sole MBR)
- Stack Speech Therapy Group
- Shanna Lee Stack
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.