Internal Medicine
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 Plan acceptance stays unpublished until the practice reports it.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 1730325440 · enumerated 2008-12-30 · record updated 2026-09-17. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: DONALD ANDERSON, Assistant Secretary Enrollment · (425) 358-9786
Other names: PMG MT MONTANA INTERNAL MED, PROVIDENCE MEDICAL GROUP MONTANA
Addresses and phones
- Practice location 2819 GREAT NORTHERN LOOP, SUITE 200, MISSOULA, MT, 59808-1750 (406) 543-1197 Fax (406) 543-0515 Google Maps Apple Maps OpenStreetMap
- Mailing address PO BOX 31001 - 4114, PASADENA, CA, 91110-4114 (406) 327-1918 Fax (406) 329-2937 Google Maps Apple Maps OpenStreetMap
Specialties
- Internal Medicine 207R00000X · Primary · License 0411866 MT
In this directory
Locations and evidence
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Practice location
MISSOULA, MT, 598081750
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.