Kalispell Regional Medical Center Inc
Organization Active NPI Clinic/Center · Eureka, MT
NPI 1720031412 · NPPES record last updated Apr 5, 2012
Key facts
- NPI
- 1720031412
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- KALISPELL REGIONAL MEDICAL CENTER INC
- Practice address
- 304 Osloski Rd
Eureka, MT 59917-9217 - Phone
- (406) 297-3145
- Fax
- (406) 297-3364
- NPI assigned
- May 17, 2006
- Organization subpart
- No
Authorized official
- Name
- Velinda J Stevens
- Title
- Ceo/President
- Phone
- (406) 752-1724
Practitioners 16
-
Sadie Ann Schwenk Baldwin, FNP-BC
-
John Erickson, N.P.
-
Terry A Smith, D.O.
-
Kandis Leigh Strickland, APRN
-
Bradford P. Whitcomb, M.D.
-
Maria Vogel, FNP-C
-
Karen D Heberling, F.N.P., NP-C
-
Glenn D Houser, M.D.
-
Jason J Schmidt, MD
-
Rodney James Schmidt, PA-C
-
Edward P Stein, MD
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
304 Osloski Rd
Eureka, MT 59917-9217
Mailing address
PO Box 2069
Eureka, MT 59917-2069
Phone (406) 297-3145
Other names
- Eureka Health Prompt Care
Other providers in Eureka, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2012. 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.