KALISPELL REGIONAL MEDICAL CENTER, INC (NPI# 1841814019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841814019 |
Entity Type | Organization |
Organization Name | KALISPELL REGIONAL MEDICAL CENTER, INC |
Practice Address |
60 Four Mile Dr Ste 10 Kalispell MT 59901-2663 |
Practice Telephone | 4067562241 |
Mailing Telephone | 4067562241 |
Enumeration Date | 2020-06-03 |
Last Update Date | 2020-06-03 |
Authorized Official Name | WILLIAM D GIBSON (GENERAL COUNSEL) |
Authorized Official Telephone | 4067521724 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Glacier View Plastic Surgery | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023183720 | Kalispell Regional Medical Center, Inc | Home Health | 275 Corporate Dr, Suite 600, Kalispell, MT 59901-6037 | 2006-11-21 |
1558435271 | Kalispell Regional Medical Center, Inc | Home Health | 711 Main St Sw, Ronan, MT 59864-2502 | 2006-11-17 |
1770183741 | Kalispell Regional Medical Center, Inc | Clinic/Center | 350 Heritage Way Ste 1200, Kalispell, MT 59901-3160 | 2020-10-29 |
1568086452 | Kalispell Regional Medical Center, Inc | Clinic/Center | 245 Windward Way Ste 101, Kalispell, MT 59901-3385 | 2020-06-05 |
1881218840 | Kalispell Regional Medical Center, Inc | Obstetrics & Gynecology | 75 Claremont St Ste A, Kalispell, MT 59901-3500 | 2020-06-04 |
1598389082 | Kalispell Regional Medical Center, Inc | Rehabilitation Unit | 320 Sunnyview Ln, Kalispell, MT 59901-3129 | 2020-06-01 |
1609490010 | Kalispell Regional Medical Center, Inc | Internal Medicine | 320 Sunnyview Ln, Kalispell, MT 59901-3129 | 2020-06-01 |
1932274636 | Kalispell Regional Medical Center, Inc | Hospice Care, Community Based | 711 Main St Sw, Ronan, MT 59864-2502 | 2006-11-21 |
1912945544 | Kalispell Regional Medical Center, Inc | Clinic/Center | 111 Sunnyview Ln, Kalispell, MT 59901-3164 | 2006-06-04 |
1285689539 | Kalispell Regional Medical Center, Inc | Clinic/Center | 200 Heritage Way, Kalispell, MT 59901-3146 | 2006-05-24 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | Kalispell Regional Medical Center, Inc. | 310 Sunnyview Lane, Kalispell, MT 59901 |
Oregon Corporations, Companies and Business Names | KALISPELL REGIONAL MEDICAL CENTER, INC. | 310 Sunnyview Lane, Kalispell, MT 59901 |
Washington State Corporations | KALISPELL REGIONAL MEDICAL CENTER, INC. | 310 Sunnyview Ln, Kalispell, MT 59901-3129 |
Street Address |
60 FOUR MILE DR STE 10 |
City | KALISPELL |
State | MT |
Zip Code | 59901-2663 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457313082 | Michelle A Spring | Surgery | 60 Four Mile Dr Ste 10, Kalispell, MT 59901-2663 | 2006-04-06 |
1053556084 | Kalispell Kidds | Dentist | 60 Four Mile Dr Ste 10, Kalispell, MT 59901-2663 | 2008-12-04 |
1386752186 | Kristy Ehrmantraut | Physician Assistant | 60 Four Mile Dr Ste 10, Kalispell, MT 59901-2663 | 2006-08-29 |
1922052976 | Brentley Allen Buchele | Surgery | 60 Four Mile Dr Ste 10, Kalispell, MT 59901-2663 | 2006-05-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982226650 | Mountain Physical Therapy and Fitness Center LLC | Physical Medicine & Rehabilitation | 2593 Highway 2 East, Suite 6, Kalispell, MT 59901 | 2020-05-15 |
1164058350 | Jessica Leeann Abell | Physical Therapist | 1825 Highway 93 S. Suite C, Kalispell, MT 59901 | 2020-03-19 |
1588216535 | Diversified Therapeutic Services, Pllc | Clinic/Center | 30 E Washinton St, Suite A, Kalispell, MT 59901 | 2019-07-10 |
1467986216 | Jill Shaver | Counselor | 285 2nd Avenue Wn, Suite #100, Kalispell, MT 59901 | 2017-04-19 |
1003270810 | Angela Otto | Counselor | 17 2nd St E Ste 204, Kalispell, MT 59901 | 2016-04-07 |
1548626989 | Pamela Greskowiak | Counselor | 2282 Hwy 93 South, Suite #1, Kalispell, MT 59901 | 2016-01-14 |
1063894921 | Joel Booth | Dentist | 690 N Meridian Rd Ste 106, Kalispell, MT 59901 | 2015-06-26 |
1982085841 | Heather Reddig | Specialist | 751 Snowberry Trail, Kalispell, MT 59901 | 2015-06-16 |
1497147193 | Patricia Greene Hall | Psychologist | 1035 1st Ave W Fl 3, Kalispell, MT 59901 | 2015-03-04 |
1720478886 | Lori Mariani | Social Worker | 1605 Danielson Road, Kalispell, MT 59901 | 2015-01-28 |
Find all providers in zip 59901 |
Taxonomy Code | 2086S0122X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Plastic and Reconstructive Surgery |
A surgeon who specializes in plastic and reconstructive surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144275744 | Buchele Plastic Surgery, P.C. | Surgery | 40 Four Mile Dr, Suite 5, Kalispell, MT 59901-2655 | 2006-05-23 |
1457313082 | Michelle A Spring | Surgery | 60 Four Mile Dr Ste 10, Kalispell, MT 59901-2663 | 2006-04-06 |
1952727612 | Healthcenter Northwest, L.L.C. | Surgery | 60 Four Mile Dr, Suite 10, Kalispell, MT 59901-2663 | 2014-03-05 |
1679659866 | Roger G Brown | Surgery | 1297 Burns Way, Suite 1, Kalispell, MT 59901 | 2006-10-31 |
1922052976 | Brentley Allen Buchele | Surgery | 60 Four Mile Dr Ste 10, Kalispell, MT 59901-2663 | 2006-05-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659699148 | Vincent G Laurence | Surgery | 900 N Orange St Ste 205, Missoula, MT 59802-2951 | 2010-05-10 |
1396978904 | Edward H Fenstermacher | Surgery | 7211 Jackson Creek Rd, Bozeman, MT 59715-9610 | 2009-08-29 |
1730220286 | Steven Michael Grosso | Surgery | 2510 17th Street West, Billings, MT 59102 | 2007-02-09 |
1235188046 | Northwest Plastic Surgery Associates, Pllc | Surgery | 2802 Great Northern Loop, Missoula, MT 59808-1738 | 2006-05-09 |
1952568065 | Sarah Elizabeth Evans | Surgery | 2525 E Broadway St, Helena, MT 59601-8049 | 2008-05-19 |
1972725182 | Billings Plastic Surgery PC | Surgery | 2510 17th St W, Billings, MT 59102-1736 | 2007-05-03 |
1528108933 | Alan David Muskett | Surgery | 2510 17th St W, Billings, MT 59102-1736 | 2007-02-07 |
1790735058 | Stephen P Hardy | Surgery | 2802 Great Northern Loop, Missoula, MT 59808-1738 | 2006-05-10 |
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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.