NPIMap

Organization Active NPI

Kalispell Regional Medical Center Inc

Doing business as Flathead Valley Women's Center

  • Gynecology Physician
  • Kalispell, MT
National Provider Identifier
1184802571
Registry record updated Oct 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
15471 Issued in MT
Legal business name
KALISPELL REGIONAL MEDICAL CENTER INC
Doing business as
Flathead Valley Women's Center
Practice address
195 Commons Loop
Kalispell, MT 59901-1912
Phone
(406) 752-0303
Fax
(406) 752-0314
NPI assigned
Feb 7, 2008
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Clinical Nurse Specialist 364SW0102X
Gynecology Physician 207VG0400X 15471 MT Primary

Addresses

Primary practice location

195 Commons Loop
Kalispell, MT 59901-1912

Mailing address

195 Commons Loop
Kalispell, MT 59901-1912
Phone (406) 752-0303

Other names 1

  • Flathead Valley Women's Center 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

195 Commons Loop
Kalispell, MT 59901
Phone (406) 250-0240

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": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507075200000",
    "number": "1184802571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 COMMONS LOOP",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599011912",
            "telephone_number": "406-752-0303",
            "fax_number": "406-752-0314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 COMMONS LOOP",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599011912",
            "telephone_number": "406-752-0303",
            "fax_number": "406-752-0314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALISPELL REGIONAL MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "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": "364SW0102X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Women's Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MT",
            "license": "15471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flathead Valley Women's Center",
            "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.