PROVIDENCE HEALTH & SERVICES MT (NPI# 1538394267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538394267 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HEALTH & SERVICES MT |
| Other Organization Name | PMG MT IHI BUTTE |
| Practice Address |
435 S Crystal St Ste 240 Butte MT 59701-1523 |
| Mailing Address |
Po Box 12 Liberty Lake WA 99019-0012 |
| Practice Telephone | 4064963602 |
| Practice Fax Number | 4064963110 |
| Mailing Telephone | 8667472455 |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2019-04-24 |
| Authorized Official Name | DONALD WAYNE ANDERSON JR. (ASST SEC ENROLLMENT/DIR REIMB ADMIN) |
| Authorized Official Telephone | 4255255392 |
| Is Organization Subpart | Y |
| Parent Organization Name | PROVIDENCE HEALTH & SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| PMG MT IHI Butte | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326483587 | Providence Health & Services Mt | Internal Medicine | 24001 East Mission Ave. Ste 105, Providence Healtlh and Services, Montana, Liberty Lake, WA 99019-0012 | 2013-05-01 |
| 1679865497 | Providence Health & Services Mt | Physician Assistant | 3050 Highway 83 N, Seeley Lake, MT 59868 | 2011-05-12 |
| 1427281203 | Providence Health & Services Mt | Internal Medicine | 500 W Broadway Street, Missoula, MT 59802-4096 | 2009-08-27 |
| 1871750554 | Providence Health & Services Mt | Internal Medicine | 300 W Mercury Street, Butte, MT 59701-1652 | 2008-05-20 |
| 1518124379 | Providence Health & Services Mt | Internal Medicine | 1102 E Commercial Ave, Anaconda, MT 59711-2718 | 2008-05-20 |
| 1881191948 | Providence Health & Services Mt | Clinic/Center | 900 N Orange St Ste 304, Missoula, MT 59802-2951 | 2018-04-06 |
| 1174074827 | Providence Health & Services Mt | Nurse Practitioner | 500 W Broadway St, Missoula, MT 59802-4008 | 2016-10-18 |
| 1720477953 | Providence Health & Services Mt | Neurological Surgery | 500 W Broadway St, Missoula, MT 59802-4008 | 2015-01-12 |
| 1215222617 | Providence Health & Services Mt | Internal Medicine | 500 W Broadway St, Missoula, MT 59802-4008 | 2011-06-14 |
| 1598064628 | Providence Health & Services Mt | Clinic/Center | 601 W Spruce St, Suite A, Missoula, MT 59802-4057 | 2011-03-15 |
| Street Address |
435 S CRYSTAL ST STE 240 |
| City | BUTTE |
| State | MT |
| Zip Code | 59701-1523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124580147 | Meighan Robbins | Counselor | 3147 Wynne Ave, Butte, MT 59701 | 2019-04-01 |
| 1982174538 | Michael Jon Dahle | Social Worker | 81 W. Park St., Butte, MT 59701 | 2018-11-27 |
| 1023534997 | Kari Williams | Specialist/Technologist | 400 S Clark St., Butte, MT 59701 | 2017-08-22 |
| 1932630191 | Laura Leigh Watson | Social Worker | 3509 Whiteway, Butte, MT 59701 | 2017-03-21 |
| 1386181824 | Charles Raymond Canty | Orthopaedic Surgery | 3441 Quincy St., Butte, MT 59701 | 2017-01-23 |
| 1528500899 | Janette A Reget | Social Worker | 235 S. Crystal St., Butte, MT 59701 | 2016-11-17 |
| 1851761662 | Robin Catherine Becker | Nurse Practitioner | 209 S Montana St Ste B4, Butte, MT 59701 | 2015-10-06 |
| 1336546043 | Sara Rachel Brackett | Reflexologist | 1114 Maryland, Butte, MT 59701 | 2014-11-24 |
| 1548676117 | Laurie Ann Butkay | Technician/Technologist | 3417 Busch, Butte, MT 59701 | 2014-07-03 |
| 1760801930 | Julie Ann Monson | Counselor | 3738 Harrison Ave, Butte, MT 59701 | 2014-04-15 |
| Find all providers in zip 59701 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467657965 | Montana Cardiac Institute | Internal Medicine | 401 S Alabama St Ste 9, Butte, MT 59701-2358 | 2007-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003157868 | Big Sky Heart Pllc | Internal Medicine | 2900 12th Ave N Ste 301e, Billings, MT 59101-7504 | 2013-03-04 |
| 1932460763 | Matthew Cortright Weiss | Internal Medicine | 2827 Fort Missoula Rd Bldg 5, Missoula, MT 59804-7408 | 2012-06-07 |
| 1417230855 | Puneet Victor Bansal | Internal Medicine | 1101 25th St S, Great Falls, MT 59405 | 2011-09-22 |
| 1700093846 | Richard Dean Tenney | Internal Medicine | 308 S Bozeman Ave, Bozeman, MT 59715-4809 | 2007-05-17 |
| 1710020029 | Glacier Cardiovascular Consultants | Internal Medicine | 711 E 13th Street, Whitefish, MT 59937 | 2007-02-15 |
| 1861540593 | Daniel R Walker | Internal Medicine | 2510 Bobcat Way, Great Falls, MT 59405-5169 | 2007-01-08 |
| 1972665503 | Caring Hearts of The Rockies PC | Internal Medicine | 350 Heritage Way Suite 2100, Kalispell, MT 59901 | 2006-12-13 |
| 1477581916 | Philip A. Roper | Internal Medicine | 601 W Spruce St Ste A, Missoula, MT 59802-4047 | 2006-06-30 |
| 1427009570 | Jeffrey Edward Smith | Internal Medicine | 2900 12th Ave N Ste 204e, Billings, MT 59101-7502 | 2006-05-13 |
| 1124077334 | Newton Basil Coutinho | Internal Medicine | 2419 Mullan Rd Ste A, Missoula, MT 59808-1856 | 2006-05-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.