1. Home
  2. Directory
  3. Montana
  4. Anaconda
  5. Internal Medicine
  6. NPI Profile

PROVIDENCE HEALTH & SERVICES MT
NPI 1518124379
Internal Medicine - Cardiovascular Disease in Anaconda, MT

Active since May 20, 2008
1102 E COMMERCIAL AVE, ANACONDA, MT 59711(406) 329-5615(406) 563-8601 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 7, 2025, Apr 18, 2019 (2 updates tracked since 2019).

About Providence Health & Services Mt NPPES

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

PROVIDENCE HEALTH & SERVICES MT (NPI 1518124379), doing business as Providence Medical Group Montana, is a healthcare organization registered as a cardiovascular disease in Anaconda, 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

NPI1518124379
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NamePROVIDENCE HEALTH & SERVICES MT
Location Address1102 E COMMERCIAL AVEAnaconda, MT 59711-2718
Mailing AddressPo Box 31001 - 4114Pasadena, CA 91110-4114
Phone(406) 329-5615
Fax(406) 563-8601
Organization SubpartYesParent: Providence Health & Services
Authorized OfficialDonald Wayne AndersonAssistant Secretary Enrollment · (425) 358-9786
Enumeration DateMay 20, 2008
Last NPPES UpdateMay 7, 20252 updates tracked since enumeration
NPPES CertifiedMay 7, 2025
✔ NPI 1518124379 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 · Interventional CardiologyTaxonomy 207RI0011X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
1102 E COMMERCIAL AVE, Anaconda, MT 59711
Open in Google Maps ↗

Other Names 2

Doing Business AsProvidence Medical Group Montana
Other NamePmg Mt Ihi Anaconda

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 4

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

WILLIAM ZACHOW D.O.
Family Medicine
1102 E COMMERCIAL AVE
ANACONDA, MT 59711
Deer Lodge County (602) 790-4221
COMMUNITY HOSPITAL OF ANACONDA
Family Medicine
1102 E COMMERCIAL AVE
ANACONDA, MT 59711
Deer Lodge County (406) 563-7282
ELIZABETH SCHIEDERMAYER MD
Internal Medicine
1102 E COMMERCIAL AVE
ANACONDA, MT 59711
Deer Lodge County (406) 563-8689
EMILY GRACE OWEN MD
Internal Medicine
1102 E COMMERCIAL AVE
ANACONDA, MT 59711
Deer Lodge County (406) 583-8689

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 1518124379. It was assigned to this organization in the NPPES registry on May 20, 2008. The provider is doing business as Providence Medical Group Montana. The provider is also known as PMG MT IHI Anaconda.

Where is Providence Health & Services Mt located?

Providence Health & Services Mt is located at 1102 E Commercial Ave, Anaconda, MT 59711. The listed phone number is (406) 329-5615.

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 May 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.