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 1407013261

Providence Health & Services Mt is a Cardiovascular Disease Physician in Deer Lodge, Montana. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
3

Practice location Address checks out

1101 Texas Ave
Deer Lodge, MT 59722-1828
Phone: (406) 846-1722
Fax: (406) 329-5606
Show map & directions

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

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X
Interventional Cardiology Physician Taxonomy 207RI0011X
Pulmonary Disease Physician Taxonomy 207RP1001X

Record details

NPI number1407013261
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 Deer Lodge
NPI enumeratedMay 20, 2008
Last updated in NPPESJune 20, 2025
Certification dateJune 20, 2025
Mailing addressPo Box 31001-4114, Pasadena, CA 91110-4114