KALISPELL REGIONAL MEDICAL CENTER INC (NPI# 1972982981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972982981 |
| Entity Type | Organization |
| Organization Name | KALISPELL REGIONAL MEDICAL CENTER INC |
| Other Organization Name | GINA NELSON, MD |
| Practice Address |
210 Sunnyview Ln Suite 104 Kalispell MT 59901-3135 |
| Practice Telephone | 4067556550 |
| Mailing Telephone | 4067556550 |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2020-06-30 |
| Authorized Official Name | CRAIG J LAMBRECHT (PRESIDENT/CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 4067521724 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Gina Nelson, MD | 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 |
210 SUNNYVIEW LN SUITE 104 |
| City | KALISPELL |
| State | MT |
| Zip Code | 59901-3135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558316026 | Julie W Bates | Advanced Practice Midwife | 210 Sunnyview Ln, Suite 101, Kalispell, MT 59901-3135 | 2006-05-23 |
| 1326493727 | Erin Caitlin Lauer | Obstetrics & Gynecology | 210 Sunnyview Ln, Kalispell, MT 59901-3135 | 2016-05-04 |
| 1053798710 | Kalispell Regional Medical Center Inc | Obstetrics & Gynecology | 210 Sunnyview Ln, Suite 103, Kalispell, MT 59901-3135 | 2015-05-01 |
| 1356675201 | Kimberley Marie Forthofer | Nurse Practitioner | 210 Sunnyview Ln, Suite 201, Kalispell, MT 59901-3135 | 2009-09-24 |
| 1740421023 | Jana J Sund | Advanced Practice Midwife | 210 Sunnyview Ln, Suite 101, Kalispell, MT 59901-3135 | 2009-03-16 |
| 1649300534 | Flathead Urology, Pllc | Clinic/Center | 210 Sunnyview Ln, Suite 106, Kalispell, MT 59901-3135 | 2007-03-07 |
| 1659431013 | Wallace S. Wilder Md | Clinic/Center | 210 Sunnyview Ln, Suite 103, Kalispell, MT 59901-3135 | 2006-12-08 |
| 1699874289 | James S. Bonnet M.d., P.C. | Surgery | 210 Sunnyview Ln, Suite 101, Kalispell, MT 59901-3135 | 2006-09-21 |
| 1922021518 | Wallace S Wilder | Pediatrics | 210 Sunnyview Ln, Suite 103, Kalispell, MT 59901-3135 | 2006-07-25 |
| 1033131891 | George W Mclean | Dermatology | 210 Sunnyview Ln, Ste 105, Kalispell, MT 59901 | 2006-07-24 |
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| 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 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720023138 | Thomas A. Dehoop | Obstetrics & Gynecology | 210 Sunnyview Lane #201, Kalispell, MT 59901 | 2006-06-19 |
| 1184610776 | Debra Jean Klein | Obstetrics & Gynecology | 1297 Burns Way, Kalispell, MT 59901-3166 | 2005-09-20 |
| 1326493727 | Erin Caitlin Lauer | Obstetrics & Gynecology | 210 Sunnyview Ln, Kalispell, MT 59901-3135 | 2016-05-04 |
| 1972870103 | Gina Nelson M.d. PC | Obstetrics & Gynecology | 210 Sunnyview Ln Ste 104, Kalispell, MT 59901-3128 | 2011-11-16 |
| 1215223029 | Benjamin Todd Eastham | Obstetrics & Gynecology | 75 Claremont St, Suite A, Kalispell, MT 59901-3585 | 2011-06-21 |
| 1679868558 | Adriane Floyd Haragan | Obstetrics & Gynecology | 210 Sunnyview Ln Ste 103, Kalispell, MT 59901 | 2011-06-18 |
| 1154565570 | Jenna R Huff | Obstetrics & Gynecology | 210 Sunnyview Lane, 201, Kalispell, MT 59901 | 2009-04-29 |
| 1497775837 | Shawn D Barrong | Obstetrics & Gynecology | 75 Claremont St, Suite A, Kalispell, MT 59901-3585 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154716876 | Dionne Drakulich | Obstetrics & Gynecology | 2835 Fort Missoula Rd Ste 101, Missoula, MT 59804-7424 | 2015-03-31 |
| 1265866073 | David B Roberts | Obstetrics & Gynecology | 44 Wicks Ln, Billings, MT 59105-3810 | 2013-08-28 |
| 1164708244 | Billings Crisis Pregnancy Center Inc | Obstetrics & Gynecology | 2323 Broadwater Ave, Billings, MT 59102-4766 | 2011-11-02 |
| 1932352176 | Marilee Michelle Simons | Obstetrics & Gynecology | 905 Highland Blvd Ste 4440, Bozeman, MT 59715-6901 | 2008-10-31 |
| 1740453109 | Deborah Erdman | Obstetrics & Gynecology | 100 Deep Creek Rd, Livingston, MT 59047-9110 | 2008-04-08 |
| 1689858540 | Burke E Hansen M.d. | Obstetrics & Gynecology | 30 Mt Highway 91 S Ste 204, Dillon, MT 59725-3535 | 2007-12-27 |
| 1477737336 | Patricia A Grantham M.d. | Obstetrics & Gynecology | 30 Mt Highway 91 S Ste 205, Dillon, MT 59725-3535 | 2007-12-27 |
| 1609050566 | C Curtis Blake M.d. | Obstetrics & Gynecology | 30 Mt Highway 91 S Ste 206, Dillon, MT 59725-3535 | 2007-12-27 |
| 1265624209 | Shauna Werth Kronfuss | Obstetrics & Gynecology | 905 Highland Blvd., Suite 4440, Bozeman, MT 59715 | 2007-08-14 |
| 1396866547 | Thomas Carl White | Obstetrics & Gynecology | 100 Hospital Way, Crow/northern Cheyenne Ihs Hospital, Crow Agency, MT 59022 | 2007-04-03 |
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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.