NPIMap

Organization Active NPI

Kalispell Regional Medical Center Inc

Doing business as Kalispell Regional Healthcare Surgical Specialists

  • Surgical Oncology Physician
  • Kalispell, MT
National Provider Identifier
1053790063
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
29568 Issued in MT
Legal business name
KALISPELL REGIONAL MEDICAL CENTER INC
Doing business as
Kalispell Regional Healthcare Surgical Specialists
Practice address
1333 Surgical Services Way
Kalispell, MT 59901-4844
Phone
(406) 751-5392
Fax
(406) 751-5406
NPI assigned
May 22, 2015
Last updated
Nov 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Craig J Lambrecht, MD
Title
President/Chief Executive Officer
Phone
(406) 752-1724

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology Physician 2086X0206X 29568 MT Primary

Addresses

Primary practice location

1333 Surgical Services Way
Kalispell, MT 59901-4844

Mailing address

1333 Surgical Services Way
Kalispell, MT 59901-4844
Phone (406) 751-5392

Other names 1

  • Kalispell Regional Healthcare Surgical Specialists Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address krmcmedicalrecords@krhdirect.org Kalispell Regional Medical Center Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031122000142 MT Part B Supplier - Clinic/Group Practice 5294644381 Receives reassigned benefits from 555 practitioners
This NPI is an additional NPI on the enrollment
Practice locations: Kalispell, MT; Lakeside, MT; Libby, MT; Missoula, MT; Polson, MT; Whitefish, MT; Bigfork, MT; Bozeman, MT…
O20050719000390 MT Part A Provider - Hospital 5294644381 6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053790063. Details of each certification follow.

Hospital certification: CCN 270051

Legal name
KALISPELL REGIONAL MEDICAL CENTER INC
Doing business as
LOGAN HEALTH MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1973
Last certification
Jun 22, 2022
Beds
160
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jun 5, 1997 in MT
Enrollment address
310 Sunnyview LN
Kalispell, MT 59901-3129
Main/Primary Hospital Location
Hospital subgroups
Acute care, Rehabilitation unit

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Logan Health Medical CenterCCN 270051 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 31

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kevin Abel Individual Corporate Officer Mar 11, 2024
Corporate Director Mar 11, 2024
Robert Nystuen Individual Corporate Director Jan 1, 2022
Bonnie K Matosich Individual Corporate Director Sep 17, 2020
Anna Robbins Individual W-2 Managing Employee Jul 12, 2023
Operational/Managerial Control Jul 12, 2023
Victoria Reich Individual Corporate Director Feb 24, 2025
Vassilis J Siomos Individual Corporate Director Jul 1, 2022
David Dittman Individual Corporate Director Feb 24, 2025
Lin Akey Individual Corporate Director Feb 24, 2025
Thomas G Ray Individual Corporate Director Jan 28, 2021
Heidi M Duncan Individual Corporate Director Sep 1, 2023
Melissa Lundbeck Kaptanian Individual Corporate Director Sep 1, 2023
Amy May Individual Corporate Director Feb 24, 2025
Ellen Layton Individual Corporate Officer Aug 28, 2024
Brigid B Burke Individual Corporate Officer May 20, 2024
John Manuel Individual Corporate Director Feb 24, 2025
Mtwy Health Organization, Kalispell, MT Corporation, Non-profit 5% Or Greater Direct Ownership Interest Feb 16, 1984 100%
Operational/Managerial Control Feb 16, 1984 100%
Jane Karas Individual Corporate Director Sep 1, 2023
Courtney L Stout Paterson Individual Corporate Director Jul 1, 2019
Joseph C Reger Individual Corporate Director Feb 24, 2025
Edward P Stein Individual Corporate Director Feb 24, 2025
Clinton W Seger Individual Corporate Officer Sep 1, 2023
Corporate Director Sep 1, 2023
Alice Gordon Individual Corporate Director Sep 1, 2023
Patti L Pilgrim Individual Corporate Officer Jan 6, 2025
Craig Bartholomew Individual Corporate Director Sep 1, 2023
Benjamin D Ward Individual Corporate Director Feb 24, 2025
William D Gibson Individual Corporate Officer Mar 1, 2018
Michael L Goguen Individual Corporate Director Sep 1, 2023
Michelle Harris Individual Corporate Director Sep 1, 2023
Keith Cook Individual Corporate Director Sep 1, 2023
Mirna D Bowden Individual Corporate Director Feb 24, 2025
Donald Bennett Individual Corporate Director Jun 1, 2022

Owners & managing parties with NPI records 7

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 595

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 595

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1053790063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 SURGICAL SERVICES WAY",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599014844",
            "telephone_number": "406-751-5392",
            "fax_number": "406-751-5406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 SURGICAL SERVICES WAY",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599014844",
            "telephone_number": "406-751-5392",
            "fax_number": "406-751-5406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALISPELL REGIONAL MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-22",
        "last_updated": "2023-11-27",
        "certification_date": "2020-06-30",
        "status": "A",
        "authorized_official_last_name": "LAMBRECHT",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "406-752-1724",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "MT",
            "license": "29568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krmcmedicalrecords@krhdirect.org",
            "affiliation": "Y",
            "affiliationName": "Kalispell Regional Medical Center Inc",
            "address_1": "1333 Surgical Services Way",
            "city": "Kalispell",
            "state": "MT",
            "country_code": "US",
            "postal_code": "599014844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Kalispell Regional Healthcare Surgical Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kalispell, MT

Sources for this page

Verify at the official NPI Registry.