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

Providence Health & Services Mt

Organization Interventional Cardiology Physician · NPI 1649401076

Providence Health & Services Mt is an Interventional Cardiology Physician in Missoula, Montana. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

2829 Great Northern Loop Ste 300
Missoula, MT 59808-1752
Phone: (406) 541-7000
Show map & directions

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

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X

Record details

NPI number1649401076
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProvidence Health & Services
Authorized official Donald Anderson — Assistant Secretary Enrollments · (425) 358-9786
Other names Pmg Mt Ihi Montana Cardiology; Pmg Mt Ihi Montana Cardiology; Providence Medical Group Montana
NPI enumeratedAugust 3, 2009
Last updated in NPPESMay 7, 2025
Certification dateMay 7, 2025
Mailing addressPo Box 31001 - 4114, Pasadena, CA 91110-4114

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