PROVIDENCE HEALTH & SERVICES MT NPI 1144538505

NPI Information

  • NPI: 1144538505
  • Provider Name: PROVIDENCE HEALTH & SERVICES MT
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Organization
  • :
  • Address: 500 W BROADWAY ST
    SUITE 320
    MISSOULA, MT
    ZIP 59802
  • Phone: (406) 329-5615

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NPI Details

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 1144538505. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

500 W BROADWAY ST
SUITE 320
MISSOULA, MT
ZIP 59802-031
Phone: (406) 329-5615

The provider's authorized official is Donald Wayne Anderson .
The authorized official title is Assistant Secretary Enrollment and has the following contact phone number (425) 358-9786.

The enumeration date for this NPI number is 9/20/2010 and was last updated on 5/6/2025.

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 License State Primary
1207RC0000XInternal MedicineCardiovascular DiseaseYes

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: 3/30/2025

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