PROVIDENCE HEALTH & SERVICES MT
NPI 1558407312
Family Medicine in Stevensville, MT

Active since January 29, 2007
715 MAIN ST, SUITE A, STEVENSVILLE, MT 59870(406) 777-5522(406) 777-1175 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 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 1558407312), doing business as Pmg Mt Lifespan Family Med, is a healthcare organization registered as a family medicine in Stevensville, Montana and active in the NPI registry since January 2007. The organization lists Donald Wayne Anderson, Assistant Secretary Enrollments, as its authorized official.

NPPES Registry Identity

NPI1558407312
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES MT
Location Address715 MAIN ST, SUITE AStevensville, MT 59870-2861
Mailing AddressPo Box 31001 - 4114Pasadena, CA 91110-4114 · (406) 777-5522 · Fax (406) 777-1175
Fax(406) 777-1175
Organization SubpartYesParent: Providence Health & Services
Authorized OfficialDonald Wayne AndersonAssistant Secretary Enrollments · (425) 358-9786
Enumeration DateJanuary 29, 2007
Last NPPES UpdateMay 7, 2025
NPPES CertifiedMay 7, 2025
NPI 1558407312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed · NA
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
715 MAIN ST, Stevensville, MT 59870

Other Names 2

Doing Business AsPmg Mt Lifespan Family Med
Doing Business AsProvidence Medical Group Montana

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 8

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

Clinic/Center (Medical Specialty)
715 MAIN ST, SUITE B
STEVENSVILLE, MT 59870
Psychologist
715 MAIN ST, SUITE C
STEVENSVILLE, MT 59870
Dermatology (MOHS-Micrographic Surgery)
715 MAIN ST
STEVENSVILLE, MT 59870
Nurse Practitioner (Family)
715 MAIN ST
STEVENSVILLE, MT 59870
Nurse Practitioner (Family)
715 MAIN ST
STEVENSVILLE, MT 59870
Social Worker (Clinical)
715 MAIN ST
STEVENSVILLE, MT 59870
Plastic Surgery
715 MAIN ST, SUITE B
STEVENSVILLE, MT 59870
Family Medicine
715 MAIN ST
STEVENSVILLE, MT 59870

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 1558407312. It was assigned to this organization in the NPPES registry on January 29, 2007. The provider is doing business as PMG MT Lifespan Family Med and Providence Medical Group Montana.

Where is Providence Health & Services Mt located?

Providence Health & Services Mt is located at 715 Main St Suite A, Stevensville, MT 59870. The listed phone number is (406) 777-5522.

What is Providence Health & Services Mt's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.