PROVIDENCE HEALTH & SERVICES MT
NPI 1235370065
Internal Medicine - Endocrinology, Diabetes & Metabolism in Missoula, MT

Active since March 06, 2009
500 W BROADWAY ST, 1ST FLOOR, MISSOULA, MT 59802(406) 327-5734 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Providence Health & Services Mt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE HEALTH & SERVICES MT (NPI 1235370065), doing business as Pmg Mt Wound Care, is a healthcare organization registered as an endocrinology, diabetes & metabolism in Missoula, Montana and active in the NPI registry since March 2009. The organization lists Donald W Anderson, Assistant Secretary Enrollments, as its authorized official.

NPPES Registry Identity

NPI1235370065
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NamePROVIDENCE HEALTH & SERVICES MT
Location Address500 W BROADWAY ST, 1ST FLOORMissoula, MT 59802-4096
Mailing AddressPo Box 31001 - 4114Pasadena, CA 91110-4114 · (406) 327-5734
Organization SubpartYesParent: Providence Health & Services
Authorized OfficialDonald W AndersonAssistant Secretary Enrollments · (425) 358-9786
Enumeration DateMarch 6, 2009
Last NPPES UpdateMay 6, 2025
NPPES CertifiedMay 6, 2025
NPI 1235370065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

500 W BROADWAY ST, Missoula, MT 59802

Other Names 2

Doing Business AsPmg Mt Wound Care
Doing Business AsProvidence Medical Group Montana

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Clinical Cardiac Electrophysiology)
500 W BROADWAY ST, STE 320
MISSOULA, MT 59802
General Acute Care Hospital
500 W BROADWAY ST
MISSOULA, MT 59802
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
500 W BROADWAY ST
MISSOULA, MT 59802
Pharmacist (Pharmacotherapy)
500 W BROADWAY ST
MISSOULA, MT 59802
Pharmacist (Pharmacotherapy)
500 W BROADWAY ST
MISSOULA, MT 59802
Nurse Practitioner (Family)
500 W BROADWAY ST
MISSOULA, MT 59802
Internal Medicine (Nephrology)
500 W BROADWAY ST, 4TH FLOOR
MISSOULA, MT 59802
Thoracic Surgery (Cardiothoracic Vascular Surgery)
500 W BROADWAY ST
MISSOULA, MT 59802

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Providence Health & Services Mt's NPI number?

The NPI number for Providence Health & Services Mt is 1235370065. It was assigned to this organization in the NPPES registry on March 6, 2009. The provider is doing business as PMG MT Wound Care and Providence Medical Group Montana.

Where is Providence Health & Services Mt located?

Providence Health & Services Mt is located at 500 W Broadway St 1st Floor, Missoula, MT 59802. The listed phone number is (406) 327-5734.

What is Providence Health & Services Mt's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

What insurance does Providence Health & Services Mt accept?

Health plans from Blue Cross and Blue Shield of Montana list Providence Health & Services Mt as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Providence Health & Services Mt was last updated on May 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.