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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PROVIDENCE HEALTH & SERVICES MT
NPI 1871825018
Internal Medicine - Nephrology in Missoula, MT

Active since February 12, 2010
3055 N RESERVE ST STE Q, MISSOULA, MT 59808(406) 327-7000(406) 541-7150 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 17, 2026, May 7, 2025, Aug 21, 2018 (3 updates tracked since 2018).

About Providence Health & Services Mt NPPES

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

PROVIDENCE HEALTH & SERVICES MT (NPI 1871825018), doing business as 1871825018, is a healthcare organization registered as a nephrology in Missoula, Montana and active in the NPI registry since February 2010. The organization lists Donald Wayne Anderson, Assistant Secretary Enrollments, as its authorized official.

NPPES Registry Identity

NPI1871825018
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NamePROVIDENCE HEALTH & SERVICES MT
Location Address3055 N RESERVE ST STE QMissoula, MT 59808-1394
Mailing AddressPo Box 31001 - 4114Pasadena, CA 91110-4114
Phone(406) 327-7000
Fax(406) 541-7150
Organization SubpartYesParent: Providence Health & Services
Authorized OfficialDonald Wayne AndersonAssistant Secretary Enrollments · (425) 358-9786
Enumeration DateFebruary 12, 2010
Last NPPES UpdateSeptember 17, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2026
✔ NPI 1871825018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
3055 N RESERVE ST STE Q, Missoula, MT 59808
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Other Names 2

Doing Business As1871825018
Doing Business AsProvidence Medical Group Mt

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

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana.Insurance ›

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 1871825018. It was assigned to this organization in the NPPES registry on February 12, 2010. The provider is doing business as 1871825018 and Providence Medical Group MT.

Where is Providence Health & Services Mt located?

Providence Health & Services Mt is located at 3055 N Reserve St Ste Q, Missoula, MT 59808. The listed phone number is (406) 327-7000.

What is Providence Health & Services Mt's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

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 September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.