Organization Active NPI

Healthcenter Northwest LLC

Doing business as Northwest Women's Health Care

  • Gynecology Physician
  • Kalispell, MT
National Provider Identifier
1184011561
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
8752 Issued in MT
Legal business name
HEALTHCENTER NORTHWEST LLC
Doing business as
Northwest Women's Health Care
Practice address
75 Claremont St
Suite a
Kalispell, MT 59901-3585
Phone
(406) 752-8282
NPI assigned
Apr 23, 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
William D Gibson
Title
General Counsel
Phone
(406) 752-1724

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X 8752 MT Primary

Addresses

Primary practice location

75 Claremont St
Suite a
Kalispell, MT 59901-3585

Mailing address

75 Claremont St
Suite a
Kalispell, MT 59901-3585
Phone (406) 752-8282

Other names 1

  • Northwest Women's Health Care Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address krmcmedicalrecords@krhdirect.org HealthCenter Northwest LLC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1429747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1184011561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 CLAREMONT ST",
            "address_2": "SUITE A",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013585",
            "telephone_number": "406-752-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 CLAREMONT ST",
            "address_2": "SUITE A",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013585",
            "telephone_number": "406-752-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCENTER NORTHWEST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-23",
        "last_updated": "2023-11-27",
        "certification_date": "2020-06-30",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "GENERAL COUNSEL",
        "authorized_official_telephone_number": "406-752-1724"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MT",
            "license": "8752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krmcmedicalrecords@krhdirect.org",
            "affiliation": "Y",
            "affiliationName": "HealthCenter Northwest LLC",
            "address_1": "75 Claremont St",
            "address_2": "Suite A",
            "city": "Kalispell",
            "state": "MT",
            "country_code": "US",
            "postal_code": "599013585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Northwest Women's Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northwest Women's Health Care",
            "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 Nov 27, 2023; 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.