NPIMap

Organization Active NPI

Kalispell Regional Medical Center, Inc

Doing business as Logan Health Wound Care

  • Clinic/Center
  • Kalispell, MT
National Provider Identifier
1710577903
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
KALISPELL REGIONAL MEDICAL CENTER, INC
Doing business as
Logan Health Wound Care
Practice address
210 Sunnyview LN Ste 105
Kalispell, MT 59901-3128
Phone
(406) 756-4727
Fax
(406) 751-5350
NPI assigned
Jan 21, 2021
Last updated
Jan 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

210 Sunnyview LN Ste 105
Kalispell, MT 59901-3128

Mailing address

210 Sunnyview LN Ste 105
Kalispell, MT 59901-3128
Phone (406) 756-4727

Other names 1

  • Logan Health Wound Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kalispell Regional Med Ctr58 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

NPI Registry JSON

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611187200000",
    "number": "1710577903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 SUNNYVIEW LN STE 105",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013128",
            "telephone_number": "406-756-4727",
            "fax_number": "406-751-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 SUNNYVIEW LN STE 105",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013128",
            "telephone_number": "406-756-4727",
            "fax_number": "406-751-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALISPELL REGIONAL MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-21",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-06",
        "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": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Logan Health Wound 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 Jan 21, 2021; 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.