KALISPELL REGIONAL MEDICAL CENTER INC (NPI# 1407301872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407301872 |
| Entity Type | Organization |
| Organization Name | KALISPELL REGIONAL MEDICAL CENTER INC |
| Other Organization Name | GLACIER ORAL AND MAXILLOFACIAL SURGERY |
| Practice Address |
711 E 13th St Suite 101 Whitefish MT 59937-2964 |
| Practice Telephone | 4068625656 |
| Practice Fax Number | 4068626155 |
| Mailing Telephone | 4068625656 |
| Mailing Fax Number | 4068626155 |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2017-10-04 |
| Authorized Official Name | PAMELA S ROBERTSON (PRESIDENT/CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 4067521724 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgery | 11198 | MT | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Glacier Oral and Maxillofacial Surgery | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548626872 | Kalispell Regional Medical Center Inc | Clinic/Center | 106 Ridgewater Dr Ste B, Polson, MT 59860-8977 | 2015-12-31 |
| 1295006070 | Kalispell Regional Medical Center Inc | Neurological Surgery | 200 Commons Way Ste B&c, Kalispell, MT 59901-1915 | 2012-01-25 |
| 1548215676 | Kalispell Regional Medical Center Inc | Clinic/Center | 298 Osloski Rd, Eureka, MT 59917-9058 | 2006-05-24 |
| 1801840780 | Kalispell Regional Medical Center Inc | Clinic/Center | 310 Sunnyview Lane, Kalispell, MT 59901-3129 | 2006-05-22 |
| 1356394944 | Kalispell Regional Medical Center Inc | Clinic/Center | 202 Conway Drive, Suite 100, Kalispell, MT 59901-3153 | 2006-05-18 |
| 1730657628 | Kalispell Regional Medical Center Inc | Internal Medicine | 150 Commons Way, Kalispell, MT 59901-1910 | 2018-11-08 |
| 1033694872 | Kalispell Regional Medical Center Inc | Urology | 350 Heritage Way Ste 2300, Kalispell, MT 59901-3167 | 2018-09-27 |
| 1245767599 | Kalispell Regional Medical Center Inc | Orthopaedic Surgery | 111 Sunnyview Ln, Kalispell, MT 59901-3164 | 2017-05-17 |
| 1124566906 | Kalispell Regional Medical Center Inc | General Practice | 298 Osloski Rd, Eureka, MT 59917-9058 | 2017-02-01 |
| 1427503952 | Kalispell Regional Medical Center Inc | Surgery | 308 Louisiana Ave, Libby, MT 59923-2158 | 2016-08-25 |
| Street Address |
711 E 13TH ST SUITE 101 |
| City | WHITEFISH |
| State | MT |
| Zip Code | 59937-2964 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306946314 | Gloria Irene Nelson | Occupational Therapist | 711 E 13th St, Whitefish, MT 59937-2964 | 2006-09-22 |
| 1588858419 | Bear Paw Pediatrics | Clinic/Center | 711 E 13th St, Whitefish, MT 59937-2964 | 2007-09-04 |
| 1932246113 | Kristin Veneman | Pediatrics | 711 E 13th St, Whitefish, MT 59937-2964 | 2007-01-30 |
| 1902942360 | Laurie Hider | Physical Therapist | 711 E 13th St, Whitefish, MT 59937-2964 | 2007-01-30 |
| 1841355682 | Stacy L Upton | Physical Therapist | 711 E 13th St, Whitefish, MT 59937-2964 | 2006-12-22 |
| 1023179793 | Laurel Grady | Physical Therapist | 711 E 13th St, Whitefish, MT 59937-2964 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265042246 | Gaelen Engler | Social Worker | 144 2nd St, Whitefish, MT 59937 | 2020-08-05 |
| 1649818808 | Columbia Falls Family Dental Center PC | Dentist | 6360 Us Hwy 93 South, Whitefish, MT 59937 | 2019-12-18 |
| 1962040220 | Jordan Gilbert | Social Worker | 144-a Second Street West, Whitefish, MT 59937 | 2019-12-18 |
| 1821652819 | Jordan Fiorillo Scotti | Psychologist | 144 2nd Street, Whitefish, MT 59937 | 2019-04-25 |
| 1982195772 | Elizabeth Thomas | Massage Therapist | 6475 Highway 93 South, Ste 22, Whitefish, MT 59937 | 2018-05-29 |
| 1205349032 | Lindsey Marie Jordan | Counselor | 1143 4th St, Whitefish, MT 59937 | 2017-11-15 |
| 1023547916 | Leah Hanson | Massage Therapist | 505 Spokane, Whitefish, MT 59937 | 2017-06-05 |
| 1992106579 | Julie Ogle | Occupational Therapist | 1305 E. 7th Street, Genesis Healthcare Whitefish Center, Whitefish, MT 59937 | 2014-09-15 |
| 1588081012 | Dina Marie Deeds | Registered Nurse | 600 8th Street East, Whitefish, MT 59937 | 2014-03-21 |
| 1376809061 | North Valley Hospital, Inc | Clinic/Center | 3004 Hospital Way, Whitefish, MT 59937 | 2012-04-06 |
| Find all providers in zip 59937 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457573727 | Brian Robert Chisdak | Oral & Maxillofacial Surgery | 1994 Stadium Dr., Bozeman, MT 59715 | 2007-05-03 |
| 1962003616 | Kalispell Oral Surgery Center LLC | Oral & Maxillofacial Surgery | 180 Timberwolf Pkwy, Kalispell, MT 59901-1218 | 2020-11-07 |
| 1326499310 | David M Weber Dds Md PC | Oral & Maxillofacial Surgery | 180 Timberwolf Pkwy, Kalispell, MT 59901-1218 | 2016-06-30 |
| 1346642998 | Surgical Sleep Solutions Pllc | Oral & Maxillofacial Surgery | 805 S Reserve St, Missoula, MT 59801-2104 | 2014-09-25 |
| 1689745804 | Clark O Taylor | Oral & Maxillofacial Surgery | 805 S Reserve St, Missoula, MT 59801-2104 | 2006-11-10 |
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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.