NPIMap

Organization Active NPI

Mednorth Kalispell Urgent Care Clinic, LLC

  • Urgent Care Clinic/Center
  • Kalispell, MT
National Provider Identifier
1467690396
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MEDNORTH KALISPELL URGENT CARE CLINIC, LLC
Practice address
2316 US Highway 93 N
Kalispell, MT 59901-2547
Phone
(406) 755-5661
Fax
(406) 755-5674
NPI assigned
Jan 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Authorized official

Name
Shane Alan Hill, M.D.NPI 1598836850
Title
Owner
Phone
(406) 871-0267

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

2316 US Highway 93 N
Kalispell, MT 59901-2547

Mailing address

PO Box 10338
Kalispell, MT 59904-3338
Phone (406) 755-5661

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090421000577 MT Part B Supplier - Clinic/Group Practice 3274680673 Receives reassigned benefits from 10 practitioners
Practice locations: Kalispell, MT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
27D1095145Mednorth Urgent Care2316 US Highway 93 North, Kalispell, MT 59901ComplianceJan 19, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1467690396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10338",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599043338",
            "telephone_number": "406-755-5661",
            "fax_number": "406-755-5674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 US HIGHWAY 93 N",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599012547",
            "telephone_number": "406-755-5661",
            "fax_number": "406-755-5674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDNORTH KALISPELL URGENT CARE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-30",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-871-0267",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.