KALISPELL REGIONAL MEDICAL CENTER, INC (NPI# 1912945544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912945544 |
| Entity Type | Organization |
| Organization Name | KALISPELL REGIONAL MEDICAL CENTER, INC |
| Other Organization Name | OUTPATIENT SURGERY CENTER |
| Practice Address |
111 Sunnyview Ln Kalispell MT 59901-3164 |
| Practice Telephone | 4062576700 |
| Practice Fax Number | 4062573612 |
| Mailing Telephone | 4062576700 |
| Mailing Fax Number | 4062573612 |
| Enumeration Date | 2006-06-04 |
| 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 | Y |
| Parent Organization Name | KALISPELL REGIONAL MEDICAL CENTER, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
10908 | MT | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 0030615 | 05 |
| Other Name | Type Code |
|---|---|
| Outpatient Surgery Center | 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 |
| 1841814019 | Kalispell Regional Medical Center, Inc | Surgery | 60 Four Mile Dr Ste 10, Kalispell, MT 59901-2663 | 2020-06-03 |
| 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 |
| 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 |
111 SUNNYVIEW LN |
| City | KALISPELL |
| State | MT |
| Zip Code | 59901-3164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487644597 | Timothy J Devries | Physician Assistant | 111 Sunnyview Ln, Kalispell, MT 59901-3164 | 2005-10-28 |
| 1245767599 | Kalispell Regional Medical Center Inc | Orthopaedic Surgery | 111 Sunnyview Ln, Kalispell, MT 59901-3164 | 2017-05-17 |
| 1962744011 | Kevin R Criswell | Physical Therapist | 111 Sunnyview Ln, Suite B, Kalispell, MT 59901-3164 | 2013-03-26 |
| 1790021434 | Randy W Dugan | Physician Assistant | 111 Sunnyview Ln, Kalispell, MT 59901-3164 | 2012-12-28 |
| 1811270705 | Rodney N Michel | Physical Therapy Assistant | 111 Sunnyview Ln, Suite B, Kalispell, MT 59901-3164 | 2011-09-27 |
| 1740563014 | Ashley N Wenz | Physical Therapist | 111 Sunnyview Ln, Suite B, Kalispell, MT 59901-3164 | 2011-09-23 |
| 1992083604 | Marcella D Sandry | Physical Therapist | 111 Sunnyview Ln, Suite B, Kalispell, MT 59901-3164 | 2011-07-29 |
| 1831325810 | Tyler M Ladenburg | Physical Therapist | 111 Sunnyview Ln, Suite A, Kalispell, MT 59901-3164 | 2009-06-04 |
| 1972744696 | Kelly L Malmin | Physical Therapist | 111 Sunnyview Ln, B, Kalispell, MT 59901-3164 | 2009-03-09 |
| 1285898569 | Joseph Henry Bergman | Orthopaedic Surgery | 111 Sunnyview Ln, Kalispell, MT 59901-3164 | 2008-07-15 |
| Find all providers in the same location | ||||
| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285251132 | West Bozeman Surgery Center, LLC | Clinic/Center | 5031 S. Cottonwood Road, Suite 100, Bozeman, MT 59718 | 2020-06-26 |
| 1154945921 | Montana Endoscopy Center, Pllc | Clinic/Center | 1930 W Broadway, Ste B, Missoula, MT 59802 | 2020-06-08 |
| 1760836167 | Yellowstone Surgery Center LLC | Clinic/Center | 1739 Spring Creek Dr, Billings, MT 59102-6747 | 2016-04-21 |
| 1548626872 | Kalispell Regional Medical Center Inc | Clinic/Center | 106 Ridgewater Dr Ste B, Polson, MT 59860-8977 | 2015-12-31 |
| 1508163700 | Orthopaedic Neuro Institute Surgical Center, LLC | Clinic/Center | 1739 Spring Creek Lane, Suite 100, Billings, MT 59102 | 2011-02-24 |
| 1265645311 | Summit Surgery Center, LLC | Clinic/Center | 434 South Clark Street, Butte, MT 59701 | 2007-05-07 |
| 1770676447 | Summit Surgery Center LLC | Clinic/Center | 434 South Clark St., Butte, MT 59701-2836 | 2006-10-02 |
| 1487684213 | Same Day Surgery Center | Clinic/Center | 300 North Willson, Ste 600f, Bozeman, MT 59715 | 2006-07-04 |
| 1639158645 | Big Sky Surgery Center, LLC | Clinic/Center | 2833 Fort Missoula Rd, Missoula, MT 59804-7408 | 2006-01-10 |
| 1841275211 | Helena Surgicenter, LLC | Clinic/Center | 2440 Winne Ave, Suite 100, Helena, MT 59601-4905 | 2005-12-08 |
| Find all providers with the same taxonomy | ||||
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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.