Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Providence Health & Services Mt

Organization Family Medicine Physician · NPI 1083578314

Providence Health & Services Mt provides Family Medicine Physician services in Missoula, Montana. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

3017 Paxson St
Missoula, MT 59801
Phone: (406) 519-3422
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1083578314
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Enrollment · (425) 358-9786
Other names Providence Medical Group Montana
NPI enumeratedDecember 11, 2025
Last updated in NPPESDecember 11, 2025
Certification dateDecember 5, 2025
Mailing addressPo Box 31001 - 4114, Pasadena, CA 91110-4114

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