NPIMap

Organization Active NPI

Providence Health & Services Mt

Doing business as St Patrick Hospital Rehab

  • Rehabilitation Hospital Unit
  • Missoula, MT
National Provider Identifier
1144319138
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
10606 Issued in MT
Legal business name
PROVIDENCE HEALTH & SERVICES MT
Doing business as
St Patrick Hospital Rehab
Practice address
900 N Orange St
Missoula, MT 59802-2928
Phone
(406) 329-5790
Fax
(406) 329-5877
NPI assigned
Oct 11, 2006
Last updated
May 5, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
PROVIDENCE HEALTH & SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 5, 2025

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 Enrollments
Phone
(425) 358-9786

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 10606 MT Primary

Addresses

Primary practice location

900 N Orange St
Missoula, MT 59802-2928

Mailing address

PO Box 3974
Seattle, WA 98124-3974
Phone (406) 329-5790

Other names 1

  • St Patrick Hospital Rehab Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031229000787 MT Part B Supplier - Clinic/Group Practice 6608786306 Receives reassigned benefits from 382 practitioners
Practice locations: Missoula, MT; Plains, MT; Polson, MT; St Ignatius, MT; Stevensville, MT; Anaconda, MT; Butte, MT; Corvallis, MT…

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144319138. Details of each certification follow.

Hospital certification: CCN 270018

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
MISSOULA GENERAL HOSPITAL
Certification status
Terminated Voluntary: merger or closure, Jun 29, 1987
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Feb 13, 1985
Beds
50
Ownership / control type
Other
Most recent change of ownership
Dec 31, 1981 (1 total)
Facility address
900 North Orange Street
Missoula, MT 59802

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
Providence Service Corporation

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Providence St Patrick HospitalMissoula, MT, CCN 270014 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2010
Providence St Joseph Medical CenterPolson, MT, CCN 271343 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2010
Jan 1, 2010
Providence St Joseph Medical CenterPolson, MT, CCN 27Z343 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jan 1, 2010
Jan 1, 2010
The Village Health & RehabilitationMissoula, MT, CCN 275043 Skilled nursing facility Other Nov 1, 2013
Riverside Health & RehabilitationMissoula, MT, CCN 275126 Skilled nursing facility Other Nov 1, 2013
Partners in Home Care IncMissoula, MT, CCN 277032 Home health agency Operational/Managerial Control Aug 11, 1987
Partners in Home Care IncMissoula, MT, CCN 271500 Hospice Operational/Managerial Control Aug 11, 1987
Providence St Joseph Medical Center - RonanRonan, MT, CCN 273416 Rural health clinic 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Dec 18, 2009
Dec 18, 2009
Providence St Joseph Medical Center - PolsonPolson, MT, CCN 273415 Rural health clinic 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Dec 18, 2009
Dec 18, 2009

Owned or controlled facilities with NPI records 12

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 384

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 384

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746403200000",
    "number": "1144319138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3974",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981243974",
            "telephone_number": "406-329-5790",
            "fax_number": "406-329-5877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N ORANGE ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598022928",
            "telephone_number": "406-329-5790",
            "fax_number": "406-329-5877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE HEALTH & SERVICES MT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROVIDENCE HEALTH & SERVICES",
        "enumeration_date": "2006-10-11",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY ENROLLMENTS",
        "authorized_official_telephone_number": "425-358-9786",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "MT",
            "license": "10606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Patrick Hospital Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.