NPIMap

Organization Active NPI

Kalispell Regional Medical Center Inc

Doing business as Logan Health Surgery Center - Polson

  • Ambulatory Surgical Clinic/Center
  • Polson, MT
National Provider Identifier
1548626872
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
MED-PHYS-LIC-36235 Issued in MT
Legal business name
KALISPELL REGIONAL MEDICAL CENTER INC
Doing business as
Logan Health Surgery Center - Polson
Practice address
106 Ridgewater Dr Ste B
Polson, MT 59860-8977
Phone
(406) 883-1911
NPI assigned
Dec 31, 2015
Last updated
Jul 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Authorized official

Name
Josh Neff
Title
President
Phone
(406) 752-1724

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X MED-PHYS-LIC-36235 MT Primary

Addresses

Primary practice location

106 Ridgewater Dr Ste B
Polson, MT 59860-8977

Mailing address

106 Ridgewater Dr Ste B
Polson, MT 59860-8977
Phone (406) 883-1911

Other names 1

  • Logan Health Surgery Center - Polson Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address krmcmedicalrecords@krhdirect.org Kalispell Regional Medical Center Inc

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160229003119 MT Part B Supplier - Ambulatory Surgical Center 5294644381 Receives reassigned benefits from 1 practitioner
Practice locations: Polson, MT

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Kalispell Regional Medical Center Inc Dba Polson Health Outpatient CenterCCN 27C0001026
Medicare certification status
ActiveFrom the Provider of Services file

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 24

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

View all 24

Locations

106 Ridgewater Dr
Ste B
Polson, MT 59860
Phone (406) 883-1911

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Logan Health - ConradConrad, MT, CCN 275119 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 1, 2022
Mar 19, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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": "1451520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1548626872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 RIDGEWATER DR STE B",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "598608977",
            "telephone_number": "406-883-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 RIDGEWATER DR STE B",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "598608977",
            "telephone_number": "406-883-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALISPELL REGIONAL MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-31",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "NEFF",
        "authorized_official_first_name": "JOSH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-752-1724"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MT",
            "license": "MED-PHYS-LIC-36235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krmcmedicalrecords@krhdirect.org",
            "affiliation": "Y",
            "affiliationName": "Kalispell Regional Medical Center Inc",
            "address_1": "106 Ridgewater Dr Ste B",
            "city": "Polson",
            "state": "MT",
            "country_code": "US",
            "postal_code": "598608977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Logan Health Surgery Center - Polson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Polson, MT

Sources for this page

Verify at the official NPI Registry.