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

Providence Health & Services Mt

Organization Family Medicine Physician · NPI 1558407312

Providence Health & Services Mt is a Family Medicine Physician in Stevensville, Montana. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

715 Main St Ste A
Stevensville, MT 59870-2861
Phone: (406) 777-5522
Fax: (406) 777-1175
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence NA

Record details

NPI number1558407312
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProvidence Health & Services
Authorized official Donald Anderson — Assistant Secretary Enrollments · (425) 358-9786
Other names Pmg Mt Lifespan Family Med; Pmg Mt Lifespan Family Med; Providence Medical Group Montana
NPI enumeratedJanuary 29, 2007
Last updated in NPPESMay 7, 2025
Certification dateMay 7, 2025
Mailing addressPo Box 31001 - 4114, Pasadena, CA 91110-4114

Other providers in Stevensville