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 1518124379

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

In the registry since
2008
Specialties on file
3

Practice location Address checks out

1102 E Commercial Ave
Anaconda, MT 59711-2718
Phone: (406) 329-5615
Fax: (406) 563-8601
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 number1518124379
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProvidence Health & Services
Authorized official Donald Anderson — Assistant Secretary Enrollment · (425) 358-9786
Other names Providence Medical Group Montana; Pmg Mt Ihi Anaconda; Pmg Mt Ihi Anaconda
NPI enumeratedMay 20, 2008
Last updated in NPPESMay 7, 2025
Certification dateMay 7, 2025
Mailing addressPo Box 31001 - 4114, Pasadena, CA 91110-4114