Organization · Type 2 NPI

Providence Health & Services MT

Cardiovascular Disease Physician · Great Falls, MT

NPI number 1679730436 Active

Practice location

1417 9th St S, Suite 203
Great Falls, MT 59405-4509

Call (406) 771-7700 Map

Fax (406) 329-5606

Mailing address

PO Box 12
Liberty Lake, WA 99019-0012

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.

3 other providers at this address

Other cardiovascular disease physician providers in Great Falls

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NPI record

NPI: 1679730436
Entity type: Organization (Type 2)
Issued: May 20, 2008
Last updated: Nov 11, 2013
Status: Active
Subpart: Yes of Providence Health & Services

Other names

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PMG MT Ihi Great Falls · other name

Authorized official

Mrs. Teri Masters
RCM Operations Manager
(406) 329-5795

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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.

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About NPI 1679730436

Providence Health & Services MT's National Provider Identifier is 1679730436, issued on May 20, 2008. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Great Falls, MT. The record was last updated on Nov 11, 2013.