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

Providence Health & Services Mt

Organization Nephrology Physician · NPI 1871825018

Providence Health & Services Mt is a Nephrology Physician in Missoula, Montana. Registered with an NPI since 2010.

In the registry since
2010

Practice location Address checks out

500 W Broadway St
Missoula, MT 59802
Phone: (406) 327-1900
Fax: (406) 329-7176
Show map & directions

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

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X

Record details

NPI number1871825018
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 Mt
NPI enumeratedFebruary 12, 2010
Last updated in NPPESMay 7, 2025
Certification dateMay 7, 2025
Mailing addressPo Box 31001 - 4114, Pasadena, CA 91110-4114

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