Internal Medicine, Pulmonary Disease
PROVIDENCE HEALTH & SERVICES MT
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1427096585 · enumerated 2006-06-02 · record updated 2025-05-06. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: DONALD ANDERSON, ASST SECRETARY ENROLLMENT · (425) 358-9786
Other names: PROVIDENCE MEDICAL GOUP MONTANA, PMG MT IHI
Addresses and phones
- Practice location 500 W BROADWAY ST, SUITE 320, MISSOULA, MT, 59802 (406) 329-5615 Fax (406) 329-5606 Google Maps Apple Maps OpenStreetMap
- Mailing address PO BOX 31001 - 4114, PASADENA, CA, 91110-4114 Google Maps Apple Maps OpenStreetMap
Specialties
- Internal Medicine, Cardiovascular Disease 207RC0000X · License n/a
- Internal Medicine, Clinical Cardiac Electrophysiology 207RC0001X · License n/a
- Internal Medicine, Interventional Cardiology 207RI0011X
- Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X
- Physician Assistant, Medical 363AM0700X · License n/a
- Internal Medicine, Pulmonary Disease 207RP1001X · Primary
In this directory
MT Missoula County Missoula Internal Medicine, Pulmonary Disease
Locations and evidence
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Practice location
MISSOULA, MT, 59802
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.