Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Providence Health & Services Mt

Organization Cardiovascular Disease Physician · NPI 1144538505

Providence Health & Services Mt is a Cardiovascular Disease Physician in Missoula, Montana. Registered with an NPI since 2010.

In the registry since
2010

Practice location Address checks out

500 W Broadway St Ste 320
Missoula, MT 59802-4031
Phone: (406) 329-5615
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X

Record details

NPI number1144538505
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProvidence Health & Services
Authorized official Donald Anderson — Assistant Secretary Enrollment · (425) 358-9786
Other names Pmg Mt Ihi
NPI enumeratedSeptember 20, 2010
Last updated in NPPESMay 6, 2025
Certification dateMay 6, 2025
Mailing addressPo Box 31001 - 4114, Pasadena, CA 91110-4114

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