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

Providence Health & Services Mt

Organization Anatomic Pathology & Clinical Pathology Physician · NPI 1366185928

Providence Health & Services Mt is an Anatomic Pathology & Clinical Pathology Physician in Missoula, Montana. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
3

Practice location Address checks out

500 W Broadway St
Missoula, MT 59802-4008
Phone: (406) 329-5838
Fax: (406) 329-5676
Show map & directions

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

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X
Clinical Pathology/Laboratory Medicine Physician Taxonomy 207ZP0105X
General Acute Care Hospital Taxonomy 282N00000X

Record details

NPI number1366185928
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary For Enrollment · (425) 358-9786
Other names St Patrick Hospital Pathology
NPI enumeratedApril 20, 2022
Last updated in NPPESSeptember 2, 2025
Certification dateMay 6, 2025
Mailing addressPo Box 31001-4110, Pasadena, CA 91110-4110

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