PROVIDENCE HEALTH & SERVICES MT NPI 1568629038

NPI Information

NPI: 1568629038
Provider Name: PROVIDENCE HEALTH & SERVICES MT

Other Name: PMG MT IHI IGNATIUS MSN RD

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
308 MISSION DR
ST. IGNATIUS, MT
ZIP 59865
Phone: (406) 745-3525
Get Directions

PROVIDENCE HEALTH & SERVICES MT is a cardiovascular disease internal medicine in St. Ignatius, 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 1568629038. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Pmg Mt Ihi Ignatius Msn Rd.

The provider's business location address is:

308 MISSION DR
ST. IGNATIUS, MT
ZIP 59865-676
Phone: (406) 745-3525
Fax: (406) 329-5606

The provider's authorized official is Teri Masters .
The authorized official title is Rcm Operations Manager and has the following contact phone number (406) 329-5795.

The enumeration date for this NPI number is 5/21/2008 and was last updated on 6/22/2011.

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	Primary
1	207RI0011X	Internal Medicine	Interventional Cardiology	No
2	207RP1001X	Internal Medicine	Pulmonary Disease	No
3	207RC0000X	Internal Medicine	Cardiovascular Disease	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	M000009936	MEDICARE PIN	MONTANA

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: 11/14/2023

NPI Synchronization or Removal

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