PMG MT MONTANA INTERNAL MED
NPI 1730325440
Internal Medicine in Missoula, MT

Active since December 30, 2008
2819 GREAT NORTHERN LOOP, SUITE 200, MISSOULA, MT 59808(406) 543-1197(406) 543-0515 Get Directions Write a Review

NPPES record last updated: November 22, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pmg Mt Montana Internal Med NPPES

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

PMG MT MONTANA INTERNAL MED (NPI 1730325440) is a healthcare organization registered as an internal medicine in Missoula, Montana and active in the NPI registry since December 2008. The organization lists Kirk Bodlovic, Cfo, as its authorized official.

NPPES Registry Identity

NPI1730325440
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES MT
Location Address2819 GREAT NORTHERN LOOP, SUITE 200Missoula, MT 59808-1750
Mailing AddressPo Box 12Liberty Lake, WA 99019-0012 · (406) 327-1918 · Fax (406) 329-2937
Fax(406) 543-0515
Organization SubpartYesParent: Providence Health & Services
Authorized OfficialKirk BodlovicCfo · (406) 327-1918
Enumeration DateDecember 30, 2008
Last NPPES UpdateNovember 22, 2013
NPI 1730325440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MT · 0411866
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2819 GREAT NORTHERN LOOP, Missoula, MT 59808

Other Names 1

Doing Business AsPmg Mt Montana Internal Med

Other Identifiers 1

Medicare PINM000009936MT

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.

Massage Therapist
2819 GREAT NORTHERN LOOP, SUITE B2
MISSOULA, MT 59808
Nurse Practitioner (Family)
2819 GREAT NORTHERN LOOP, SUITE 100
MISSOULA, MT 59808
Physician Assistant (Medical)
2819 GREAT NORTHERN LOOP
MISSOULA, MT 59808
Clinical Medical Laboratory
2819 GREAT NORTHERN LOOP
MISSOULA, MT 59808
Physical Therapist
2819 GREAT NORTHERN LOOP, SUITE #300
MISSOULA, MT 59808
Family Medicine
2819 GREAT NORTHERN LOOP
MISSOULA, MT 59808
Family Medicine
2819 GREAT NORTHERN LOOP
MISSOULA, MT 59808
Physical Therapist
2819 GREAT NORTHERN LOOP, STE 300
MISSOULA, MT 59808

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 1730325440. It was assigned to this organization in the NPPES registry on December 30, 2008. The provider is doing business as Pmg Mt Montana Internal Med.

Where is Providence Health & Services Mt located?

Providence Health & Services Mt is located at 2819 Great Northern Loop Suite 200, Missoula, MT 59808. The listed phone number is (406) 543-1197.

What is Providence Health & Services Mt's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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 November 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.