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Providence Health & Services Mt

Internal Medicine Physician in Missoula, MT · enumerated 2008 · authorized official Kirk Bodlovic, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1730325440

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Registry record

Entity type Organization (Type 2)
Legal business name Providence Health & Services Mt
Other name <Unavail>
Parent organization Providence Health & Services
Practice address 2819 Great Northern Loop, Suite 200, Missoula, MT, 59808
Fax (406) 543-0515
Enumeration date Dec 30, 2008
Last updated in NPPES Nov 22, 2013

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 0411866 (MT) Primary

Authorized official

Name Kirk Bodlovic
Title Cfo

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Providence Health & Services Mt located?
The practice location on file with NPPES is in Missoula, MT.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-11-22. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-11-22.