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: October 25, 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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Providence Health & Services Mt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

325

Medicare enrollment records show 325 clinicians reassign Medicare billing to Providence Health & Services Mt, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 41

Nurse Practitioner66
Family Practice22
Emergency Medicine19
Neurology19
Cardiovascular Disease (Cardiology)18
Clinical Social Worker18
Internal Medicine17
General Surgery14
33 other specialties132

Nearest to this location (20)

See all 325
Hospitalist
NPI 1265743348
400 S CLARK ST
Butte, MT 59701
(406) 723-2500
✔ PECOS✔ Accepts Medicare28 mi
Family Practice
NPI 1295932515
715 MAIN ST STE A
Stevensville, MT 59870
(406) 777-5522
✔ PECOS✔ Accepts Medicare66 mi
Clinical Social Worker
NPI 1396124913
715 MAIN ST
Stevensville, MT 59870
(406) 777-5522
✔ PECOS✔ Accepts Medicare66 mi
Nurse Practitioner
NPI 1174081723
715 MAIN ST
Stevensville, MT 59870
(406) 777-5522
✔ PECOS✔ Accepts Medicare66 mi
Emergency Medicine
NPI 1114976297
SAINT PATRICK HOSPITAL EMERGENCY DEPARTMENT 500 WEST BROADWAY
Missoula, MT 59801
(406) 329-5635
✔ PECOS✔ Accepts Medicare68 mi
Thoracic Surgery
NPI 1033239835
500 W BROADWAY ST
Missoula, MT 59802
(406) 329-5615
✔ PECOS✔ Accepts Medicare69 mi
Internal Medicine
NPI 1033640370
500 W BROADWAY ST
Missoula, MT 59802
(406) 543-7271
✔ PECOS✔ Accepts Medicare69 mi
Pain Management
NPI 1205361276
500 W BROADWAY ST # 3
Missoula, MT 59802
(406) 327-1670
✔ PECOS✔ Accepts Medicare69 mi
Hematology/Oncology
NPI 1053976514
500 W BROADWAY ST
Missoula, MT 59802
(406) 728-2539
✔ PECOS✔ Accepts Medicare69 mi
Radiation Oncology
NPI 1053312900
500 W BROADWAY ST
Missoula, MT 59802
(406) 329-5655
✔ PECOS✔ Accepts Medicare69 mi
General Surgery
NPI 1700444197
500 W BROADWAY ST FL 4BB
Missoula, MT 59802
(406) 329-5828
✔ PECOS✔ Accepts Medicare69 mi
Cardiovascular Disease (Cardiology)
NPI 1417230855
500 W BROADWAY ST STE 320
Missoula, MT 59802
(406) 329-5615
✔ PECOS✔ Accepts Medicare69 mi
Cardiac Electrophysiology
NPI 1588808646
500 W BROADWAY ST STE 320
Missoula, MT 59802
(406) 329-5615
✔ PECOS✔ Accepts Medicare69 mi
Psychiatry
NPI 1295354298
900 N ORANGE ST STE 202
Missoula, MT 59802
(406) 327-3362
✔ PECOS✔ Accepts Medicare69 mi
Certified Clinical Nurse Specialist (CNS)
NPI 1134585102
900 N ORANGE ST STE 304
Missoula, MT 59802
(406) 329-5781
✔ PECOS✔ Accepts Medicare69 mi
Registered Dietitian or Nutrition Professional
NPI 1508247255
900 N ORANGE ST STE 304
Missoula, MT 59802
(529) 251-5828
✔ Accepts Medicare69 mi
Mental Health Counselor
NPI 1689063000
900 N ORANGE ST STE 304
Missoula, MT 59802
(406) 327-3362
✔ PECOS✔ Accepts Medicare69 mi
Pediatric Medicine
NPI 1326241241
900 N ORANGE ST STE 303
Missoula, MT 59802
(406) 327-7337
✔ PECOS69 mi
Endocrinology
NPI 1730451287
900 N ORANGE ST STE 304
Missoula, MT 59802
(406) 329-5781
✔ PECOS✔ Accepts Medicare69 mi
Pulmonary Disease
NPI 1720384209
900 N ORANGE ST STE 106
Missoula, MT 59802
(406) 327-3100
✔ PECOS✔ Accepts Medicare69 mi
See all 325 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Providence Health & Services Mt enrolled in Medicare?

Yes. Providence Health & Services Mt is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Providence Health & Services Mt?

According to the CMS Revalidation Reassignment List (October 2026 release), 325 clinicians in 41 Medicare specialties reassign their Medicare billing to Providence Health & Services Mt. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (66), Family Practice (22) and Emergency Medicine (19). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 16 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.