PROVIDENCE HEALTH & SERVICES MT NPI 1427096585

NPI Information

NPI: 1427096585
Provider Name: PROVIDENCE HEALTH & SERVICES MT

Doing Business As: PMG MT IHI

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
500 W BROADWAY ST
SUITE 320
MISSOULA, MT
ZIP 59802
Phone: (406) 329-5615
Get Directions

PROVIDENCE HEALTH & SERVICES MT is a cardiovascular disease internal medicine in Missoula, MT. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. PROVIDENCE HEALTH & SERVICES MT NPI is 1427096585. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pmg Mt Ihi.

The provider's business location address is:

500 W BROADWAY ST
SUITE 320
MISSOULA, MT
ZIP 59802
Phone: (406) 329-5615
Fax: (406) 329-5606

The provider's authorized official is Donald Wayne Anderson .
The authorized official title is Director Reimbursement Admin and has the following contact phone number (425) 525-5392.

The enumeration date for this NPI number is 6/2/2006 and was last updated on 6/4/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	N/A	Yes
2	207RC0001X	Internal Medicine	Clinical Cardiac Electrophysiology	N/A	No
3	207RI0011X	Internal Medicine	Interventional Cardiology		No
4	207RP1001X	Internal Medicine	Pulmonary Disease		No
5	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery)			No
6	363AM0700X	Physician Assistant	Medical	N/A	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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