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

Providence Health & Services Mt

Organization Emergency Medicine Physician · NPI 1497868335

Providence Health & Services Mt is an Emergency Medicine Physician in Missoula, Montana. Licensed in Montana. Registered with an NPI since 2006.

Licensed in
MT
In the registry since
2006

Practice location Address checks out

500 W Broadway
Missoula, MT 59802-4008
Phone: (406) 543-7271
Fax: (406) 329-2937
Show map & directions

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 10606 (MT)

Record details

NPI number1497868335
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProvidence Health & Services
Authorized official Donald Anderson — Assistant Secretary Enrollments · (425) 358-9786
Other names Providence Medical Group Montana; Sph Er Physicians; Sph Er Physicians
NPI enumeratedAugust 16, 2006
Last updated in NPPESMay 7, 2025
Certification dateMay 7, 2025
Mailing addressPo Box 31001 - 4114 Providence Health & Services Mt, Pasadena, CA 91110-4114

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