Kalispell Regional Medical Center Inc
Organization Active NPI Clinic/Center · Lakeside, MT
NPI 1548695117 · NPPES record last updated Nov 27, 2023
Key facts
- NPI
- 1548695117
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- KALISPELL REGIONAL MEDICAL CENTER INC
- Practice address
- 306 Stoner Loop
Lakeside, MT 59922-9688 - Phone
- (406) 751-7150
- NPI assigned
- Sep 13, 2013
- Organization subpart
- No
Authorized official
- Name
- Craig J Lambrecht, MD
- Title
- President/Chief Executive Officer
- Phone
- (406) 752-1724
Practitioners 5
-
Jose C De Souza, MD
-
Daniel Hanba, MD
-
Rachelle Losey, MD
-
Keelin Sweeney Wall, AGACNP-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
306 Stoner Loop
Lakeside, MT 59922-9688
Mailing address
306 Stoner Loop
Lakeside, MT 59922-9688
Other names
- Westshore Medical Clinic
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | krmcmedicalrecords@krhdirect.org | Kalispell Regional Medical Center Inc |
Other providers in Lakeside, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.