Organization · Type 2 NPI

ST Patrick Hosp and Health Sci CTR

Cardiovascular Disease Physician · Salmon, ID

NPI number 1093972564 Active

Practice location

203 S. Daisy St
Salmon, ID 83467-4343

Call (406) 329-5615 Map

Fax (406) 329-5606

Mailing address

500 W. Broadway, Suite 320
Missoula, MT 59802-4003

Specialties and licenses

Taxonomy	Code	License
Cardiovascular Disease Physician Primary	207RC0000X	None listed
Interventional Cardiology Physician	207RI0011X	None listed
Pulmonary Disease Physician	207RP1001X	None listed

Cardiovascular Disease Physician: 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.

NPI record

NPI: 1093972564
Entity type: Organization (Type 2)
Issued: May 21, 2008
Last updated: May 5, 2025
Status: Active
Subpart: Yes of ST Patrick Hosp and Health Sci CTR

Other names

<unavail>
International Heart Instute of Montana · doing business as

Authorized official

Donald Wayne Anderson
Assistant Secretary Enrollment
(425) 358-9786

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1093972564

ST Patrick Hosp and Health Sci CTR's National Provider Identifier is 1093972564, issued on May 21, 2008. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Salmon, ID. The record was last updated on May 5, 2025.