NPIMap

Organization Active NPI

Kalispell Regional Med Center Inc

Doing business as Kalispell Gastroenterology

  • Clinic/Center
  • Kalispell, MT
National Provider Identifier
1164720769
Registry record updated Oct 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
KALISPELL REGIONAL MED CENTER INC
Doing business as
Kalispell Gastroenterology
Practice address
75 Claremont St Ste DHF
Kalispell, MT 59901-3585
Phone
(406) 752-7441
Fax
(406) 257-0304
NPI assigned
Mar 5, 2011
Last updated
Oct 4, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2017

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

Authorized official

Name
Pamela S Robertson
Title
President/Chief Executive Officer
Phone
(406) 752-1724

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

75 Claremont St Ste DHF
Kalispell, MT 59901-3585

Mailing address

75 Claremont St Ste DHF
Kalispell, MT 59901-3585
Phone (406) 752-7441

Other names 1

  • Kalispell Gastroenterology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

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…

National Provider Directory

National Provider Directory

Locations

75 Claremont St
Ste Dhf
Kalispell, MT 59901
Phone (406) 752-7441

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1299283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507075200000",
    "number": "1164720769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 CLAREMONT ST STE DHF",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013585",
            "telephone_number": "406-752-7441",
            "fax_number": "406-257-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 CLAREMONT ST STE DHF",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013585",
            "telephone_number": "406-752-7441",
            "fax_number": "406-257-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALISPELL REGIONAL MED CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-05",
        "last_updated": "2017-10-04",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT/CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "406-752-1724"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kalispell Gastroenterology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kalispell, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.