Organization
PROVIDENCE HEALTH & SERVICES MT
Active
Other names
PROVIDENCE MEDICAL GROUP MONTANA, PMG MT Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD WAYNE ANDERSON JR. (ASSISTANT SECRETARY ENROLLMENT)
(425) 358-9786
Entity
Organization
Contact information
Practice address
900 N ORANGE ST STE 303, MISSOULA, MT 59802-2956
(406) 327-7337
(406) 327-7373
Mailing address
PO BOX 31001 - 4114, PASADENA, CA 91110-4114
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/20/2022
Last updated
05/07/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us