PROVIDENCE HEALTH & SERVICES MT is a nephrology internal medicine in Missoula, MT. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. PROVIDENCE HEALTH & SERVICES MT NPI is 1871825018. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Providence Medical Group Mt.
The provider's business location address is:
500 W BROADWAY ST
MISSOULA, MT
ZIP 59802
Phone: (406) 327-1900
Fax: (406) 329-7176
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 CLIA number assigned to this NPI record is 27D2005128 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/12/2010 and was last updated on 8/21/2018.