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PROVIDENCE HEALTH & SERVICES MT
NPI 1730802364
Family Medicine in Missoula, MT

Active since September 20, 2022
900 N ORANGE ST STE 303, MISSOULA, MT 59802(406) 327-7337(406) 327-7373 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 7, 2025, Sep 20, 2022 (2 updates tracked since 2022).

About Providence Health & Services Mt NPPES

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

PROVIDENCE HEALTH & SERVICES MT (NPI 1730802364), doing business as Pmg Mt Pediatrics, is a healthcare organization registered as a family medicine in Missoula, Montana and active in the NPI registry since September 2022. The organization lists Donald Wayne Anderson, Assistant Secretary Enrollment, as its authorized official.

NPPES Registry Identity

NPI1730802364
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES MT
Location Address900 N ORANGE ST STE 303Missoula, MT 59802-2956
Mailing AddressPo Box 31001 - 4114Pasadena, CA 91110-4114
Phone(406) 327-7337
Fax(406) 327-7373
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secretary Enrollment · (425) 358-9786
Enumeration DateSeptember 20, 2022
Last NPPES UpdateMay 7, 20252 updates tracked since enumeration
NPPES CertifiedMay 7, 2025
✔ NPI 1730802364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
900 N ORANGE ST STE 303, Missoula, MT 59802
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Other Names 2

Doing Business AsPmg Mt Pediatrics
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

Other Providers at the Same Location NPPES 2

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

STEPHANIE SARI M.D.
Pediatrics
900 N ORANGE ST STE 303
MISSOULA, MT 59802
Missoula County (406) 327-7337
SARA MAE ENGBERG RD, LN
Dietitian, Registered
900 N ORANGE ST STE 303
MISSOULA, MT 59802
Missoula County (406) 329-2602

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 1730802364. It was assigned to this organization in the NPPES registry on September 20, 2022. The provider is doing business as PMG MT Pediatrics and Providence Medical Group Montana.

Where is Providence Health & Services Mt located?

Providence Health & Services Mt is located at 900 N Orange St Ste 303, Missoula, MT 59802. The listed phone number is (406) 327-7337.

What is Providence Health & Services Mt's specialty?

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

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.