PROVIDENCE HEALTH & SERVICES MT
NPI 1407013261
Internal Medicine - Cardiovascular Disease in Deer Lodge, MT

Active since May 20, 2008
1101 TEXAS AVE, DEER LODGE, MT 59722(406) 846-1722(406) 329-5606 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 20, 2025, May 6, 2025 (2 updates tracked since 2025).

About Providence Health & Services Mt NPPES

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

PROVIDENCE HEALTH & SERVICES MT (NPI 1407013261), doing business as Pmg Mt Ihi Deer Lodge, is a healthcare organization registered as a cardiovascular disease in Deer Lodge, Montana and active in the NPI registry since May 2008. The organization lists Donald Wayne Anderson, Assistant Secretary Enrollment, as its authorized official.

NPPES Registry Identity

NPI1407013261
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NamePROVIDENCE HEALTH & SERVICES MT
Location Address1101 TEXAS AVEDeer Lodge, MT 59722-1828
Mailing AddressPo Box 31001-4114Pasadena, CA 91110-4114 · (406) 329-5615 · Fax (406) 329-5606
Fax(406) 329-5606
Organization SubpartYesParent: Providence Health & Services
Authorized OfficialDonald Wayne AndersonAssistant Secretary Enrollment · (425) 358-9786
Enumeration DateMay 20, 2008
Last NPPES UpdateJune 20, 20252 updates tracked since enumeration
NPPES CertifiedJune 20, 2025
NPI 1407013261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
1101 TEXAS AVE, Deer Lodge, MT 59722

Other Names 1

Doing Business AsPmg Mt Ihi Deer Lodge

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

Other Providers at the Same Location NPPES 5

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

Physician Assistant
1101 TEXAS AVE
DEER LODGE, MT 59722
Family Medicine
1101 TEXAS AVE
DEER LODGE, MT 59722
Family Medicine
1101 TEXAS AVE
DEER LODGE, MT 59722
Ambulance (Land Transport)
1101 TEXAS AVE
DEER LODGE, MT 59722
Chiropractor
1101 TEXAS AVE
DEER LODGE, MT 59722

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 1407013261. It was assigned to this organization in the NPPES registry on May 20, 2008. The provider is doing business as PMG MT IHI Deer Lodge.

Where is Providence Health & Services Mt located?

Providence Health & Services Mt is located at 1101 Texas Ave, Deer Lodge, MT 59722. The listed phone number is (406) 846-1722.

What is Providence Health & Services Mt's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Providence Health & Services Mt was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.