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

Providence Health & Services Mt

Organization Cardiovascular Disease Physician · NPI 1902063688

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

In the registry since
2008
Specialties on file
3
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Practice location Address checks out

1208 6th Ave
Superior, MT 59872-9618
Phone: (406) 822-4278
Fax: (406) 329-5606
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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 number1902063688
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProvidence Health & Services
Authorized official Teri Masters — Rcm Operations Mgr · (406) 329-5795
Other names Pmg Mt Ihi Superior
NPI enumeratedMay 20, 2008
Last updated in NPPESJune 22, 2011
Mailing addressPo Box 34439, Seattle, WA 98124-1439