NPIMap

Organization Active NPI

Kalispell Regional Medical Center Inc

Doing business as Northwest Specialty Clinics

  • Surgery Physician
  • Whitefish, MT
National Provider Identifier
1073870705
Registry record updated Apr 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
KALISPELL REGIONAL MEDICAL CENTER INC
Doing business as
Northwest Specialty Clinics
Practice address
1111 Baker Ave
Suite 2
Whitefish, MT 59937-2901
Phone
(406) 863-9340
Fax
(406) 863-9342
NPI assigned
Apr 19, 2012
Last updated
Apr 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2012

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

Authorized official

Name
Velinda J Stevens
Title
Ceo/President
Phone
(406) 752-1724

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X
Gastroenterology Physician 207RG0100X
Pulmonary Disease Physician 207RP1001X
Orthopaedic Surgery Physician 207X00000X
Surgery Physician 208600000X Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X

Addresses

Primary practice location

1111 Baker Ave
Suite 2
Whitefish, MT 59937-2901

Mailing address

PO Box 4875
Whitefish, MT 59937-4875
Phone (406) 863-9340

Other names 1

  • Northwest Specialty Clinics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kalispell Reg Hosp58 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 16

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334880000000",
    "number": "1073870705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4875",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599374875",
            "telephone_number": "406-863-9340",
            "fax_number": "406-863-9342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 BAKER AVE",
            "address_2": "SUITE 2",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599372901",
            "telephone_number": "406-863-9340",
            "fax_number": "406-863-9342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALISPELL REGIONAL MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-19",
        "last_updated": "2012-04-20",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "VELINDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "406-752-1724"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Specialty Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Whitefish, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.