OrganizationActive
Providence Health & Services Mt
NPI 1679730436 · Cardiovascular Disease Physician · Great Falls, MT
Provider details
- NPI number
- 1679730436
- Entity type
- Organization
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Providence Health & Services
- Organization subpart
- Yes
- Authorized official
- Teri Masters, Rcm Operations Manager(406) 329-5795
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Interventional Cardiology Physician207RI0011X
Allopathic & Osteopathic Physicians
- Pulmonary Disease Physician207RP1001X
Allopathic & Osteopathic Physicians
Practice location
1417 9th St S
Suite 203
Great Falls, MT 59405-4509
Phone: (406) 771-7700
Fax: (406) 329-5606
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 12
Liberty Lake, WA 99019-0012
Other names (DBA / former)
- Other name
- Pmg Mt Ihi Great Falls
Registry dates
- Enumerated
- 2008-05-20
- Last updated
- 2013-11-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.