OrganizationActive
Providence Health & Services Mt
NPI 1407013261 · Cardiovascular Disease Physician · Deer Lodge, MT
Provider details
- NPI number
- 1407013261
- Entity type
- Organization
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Providence Health & Services
- Authorized official
- Donald Anderson, Assistant Secretary Enrollment
Practice location
1101 Texas Ave
Deer Lodge, MT 59722-1828
Phone: (406) 846-1722
Fax: (406) 329-5606
Mailing address
Po Box 31001-4114
Pasadena, CA 91110-4114
Registry dates
- Enumerated
- 2008-05-20
- Last updated
- 2025-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.