KALISPELL REGIONAL MEDICAL CENTER INC (NPI# 1528386802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528386802 |
| Entity Type | Organization |
| Organization Name | KALISPELL REGIONAL MEDICAL CENTER INC |
| Other Organization Name | POLSON HEALTH |
| Practice Address |
106 Ridgewater Dr Ste A Polson MT 59860-8977 |
| Practice Telephone | (406) 883-3200 |
| Practice Fax Number | 4068839483 |
| Mailing Telephone | 4068833200 |
| Mailing Fax Number | 4068839483 |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2020-06-30 |
| Authorized Official Name | CRAIG J LAMBRECHT (PRESIDENT/CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 4067521724 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| Y | 207Q00000X | Family Medicine | 7189 | MT | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Polson Health | 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 |
106 RIDGEWATER DR STE A |
| City | POLSON |
| State | MT |
| Zip Code | 59860-8977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245269810 | Daniel P Rausch | Family Medicine | 106 Ridgewater Dr Ste A, Polson, MT 59860-8977 | 2006-07-03 |
| 1891321543 | Cindy Rae Young | Nurse Practitioner | 106 Ridgewater Dr Ste A, Polson, MT 59860-8977 | 2020-03-13 |
| 1013485952 | Joshua Russell | Physician Assistant | 106 Ridgewater Dr Ste A, Polson, MT 59860-8977 | 2018-11-08 |
| 1649627936 | Brittany Mae Mitchell Eppard | Nurse Practitioner | 106 Ridgewater Dr Ste A, Polson, MT 59860 | 2016-05-17 |
| 1225303159 | Taylor M Lies | Physician Assistant | 106 Ridgewater Dr Ste A, Polson, MT 59860-8977 | 2012-03-10 |
| 1194949628 | Adam T Smith | Family Medicine | 106 Ridgewater Dr Ste A, Polson, MT 59860-8977 | 2007-04-13 |
| 1740342583 | Thomas Arthur Konen | Chiropractor | 106 Ridgewater Dr Ste A, Polson, MT 59860-8977 | 2006-12-15 |
| 1285740290 | Terry A Smith | Emergency Medicine | 106 Ridgewater Dr Ste A, Polson, MT 59860 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679095020 | Ashley J Gilham | Registered Nurse | #5 4th Ave E., Polson, MT 59860 | 2017-07-07 |
| 1225585532 | St. Luke Community Hospital | Clinic/Center | 107 Ridgewater Dr., Polson, MT 59860 | 2016-09-02 |
| 1306202163 | Western Montana Mental Health Center | Community Based Residential Treatment Facility, Mental Illness | 7 13th Ave East, Polson, MT 59860 | 2016-01-11 |
| 1154730364 | Wanda L King | Dietitian, Registered | 6 Thirteenth Avenue East, Poslon, MT 59860 | 2014-08-13 |
| 1104255637 | Dacia Lee Antiste-fisher | Counselor | #5 4th Ave. E., Polson, MT 59860 | 2013-11-05 |
| 1154758134 | Richard Pierre | Pharmacy Technician | 5 4th Ave E., Polson, MT 59860 | 2013-10-04 |
| 1154755197 | Wal-mart Stores, Inc | Durable Medical Equipment & Medical Supplies | 36318 Memory Lane, Polson, MT 59860 | 2013-08-27 |
| 1245582022 | Catherine D Addison | Registered Nurse | 5 4th Ave. East, Polson, MT 59860 | 2012-10-04 |
| 1114220787 | Erika Ann Weber | Social Worker | #5 4th Ave. E, Polson, MT 59860 | 2010-12-21 |
| 1942431473 | Lisa L. Scalpane | Counselor | 803 Main Street, Suite C, Polson, MT 59860 | 2009-07-31 |
| Find all providers in zip 59860 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437680758 | Isaac Billings | Family Medicine | 107 Ridgewater Dr Ste A, Polson, MT 59860-8977 | 2017-03-27 |
| 1396008231 | Heidi Woxland | Family Medicine | 106 Ridgewater Dr, Suite A, Polson, MT 59860-8977 | 2012-06-15 |
| 1477727956 | Bernadette N. Corum | Family Medicine | #5 4th Ave. East, Polson, MT 59860 | 2008-04-16 |
| 1114091113 | Cara J Harrop | Family Medicine | 104 Rufus Ln, Polson, MT 59860-8903 | 2006-11-20 |
| 1932273927 | Paul D Gochis | Family Medicine | 107 Ridgewater Dr, Polson, MT 59860-8977 | 2006-11-20 |
| 1245269810 | Daniel P Rausch | Family Medicine | 106 Ridgewater Dr Ste A, Polson, MT 59860-8977 | 2006-07-03 |
| 1235679796 | Shana Eaglefeathers | Family Medicine | 6 13th Ave E, Polson, MT 59860-5315 | 2017-03-03 |
| 1548647290 | Tyler Jay Thorson | Family Medicine | 104 Rufus Ln, Polson, MT 59860 | 2015-05-01 |
| 1962825356 | Mariah Walker Bonner | Family Medicine | 104 Rufus Ln, Polson, MT 59860 | 2014-01-21 |
| 1104268887 | Scot A Swanson | Family Medicine | 6 13th Ave E, Polson, MT 59860-5315 | 2013-07-23 |
| Find all providers in POLSON | ||||
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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.