OrganizationActive
Providence Health & Services Mt
NPI 1568629038 · Cardiovascular Disease Physician · St. Ignatius, MT
Provider details
- NPI number
- 1568629038
- Entity type
- Organization
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Providence Health & Services
- Organization subpart
- Yes
- Authorized official
- Donald Anderson, Assistant Secretary Enrollments(425) 358-9786
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Interventional Cardiology Physician207RI0011X
Allopathic & Osteopathic Physicians
- Pulmonary Disease Physician207RP1001X
Allopathic & Osteopathic Physicians
Practice location
308 Mission Dr
St. Ignatius, MT 59865-9676
Phone: (406) 745-3525
Fax: (406) 329-5606
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 31001 - 4114
Pasadena, CA 91110-4114
Other names (DBA / former)
- Other name
- Pmg Mt Ihi Ignatius Msn Rd
Registry dates
- Enumerated
- 2008-05-21
- Last updated
- 2025-05-07
- Certified
- 2025-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.