Organization Active NPI

Kalispell Regional Medical Center Inc

  • Obstetrics & Gynecology Physician
  • Libby, MT
National Provider Identifier
1851782940
Registry record updated Oct 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
10463 Issued in MT
Legal business name
KALISPELL REGIONAL MEDICAL CENTER INC
Practice address
401 Louisiana Ave
Libby, MT 59923-2131
Phone
(406) 283-7440
Fax
(406) 293-4780
NPI assigned
Feb 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2017

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

Authorized official

Name
Pamela S Robertson
Title
President/Chief Executive Officer
Phone
(406) 752-1724

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X 10463 MT Primary

Addresses

Primary practice location

401 Louisiana Ave
Libby, MT 59923-2131

Mailing address

401 Louisiana Ave
Libby, MT 59923-2131
Phone (406) 283-7440

Other names 1

  • Dr. Brian Bell OB/GYN Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507075200000",
    "number": "1851782940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 LOUISIANA AVE",
            "city": "LIBBY",
            "state": "MT",
            "postal_code": "599232131",
            "telephone_number": "406-283-7440",
            "fax_number": "406-293-4780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 LOUISIANA AVE",
            "city": "LIBBY",
            "state": "MT",
            "postal_code": "599232131",
            "telephone_number": "406-283-7440",
            "fax_number": "406-293-4780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALISPELL REGIONAL MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-10",
        "last_updated": "2017-10-04",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT/CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "406-752-1724"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MT",
            "license": "10463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Brian Bell OB/GYN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Libby, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.