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

Providence Health & Services Mt

Organization Internal Medicine Physician · NPI 1407151616

Providence Health & Services Mt is an Internal Medicine Physician in Missoula, Montana. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

500 W Broadway St
Missoula, MT 59802-4096
Phone: (406) 327-1766
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1407151616
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProvidence Health & Services
Authorized official Donald Anderson — Assistant Secretary Enrollments · (425) 358-9786
Other names Sph Anticoagulation Clinic
NPI enumeratedJanuary 19, 2011
Last updated in NPPESMay 6, 2025
Certification dateMay 6, 2025
Mailing addressPo Box 34439, Seattle, WA 98124-1439

Other providers in Missoula