Active NPI
Kalispell Regional Medical Center, Inc
- Ambulatory Surgical Clinic/Center
- Kalispell, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 10908
- Legal business name
- KALISPELL REGIONAL MEDICAL CENTER, INC
- Practice address
- 111 Sunnyview LN
Kalispell, MT 59901-3164 - Phone
- (406) 257-6700
- Fax
- (406) 257-3612
- NPI assigned
- Jun 4, 2006
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 10908 | MT | Primary |
Addresses
Primary practice location
111 Sunnyview LN
Kalispell, MT 59901-3164
Mailing address
111 Sunnyview LN
Kalispell, MT 59901-3164
Phone (406) 257-6700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100030425 | Medicaid | MT |
Other names 1
- Logan Health Surgery Center - Kalispell
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170809001661 | MT | Part B Supplier - Ambulatory Surgical Center | 5294644381 |
Receives reassigned benefits from 5 practitioners Practice locations: Kalispell, MT |
Other NPIs with the same Medicare PAC ID 6
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- General Acute Care Hospital
- Kalispell, MT
- NPI 1417945627
5294644381
-
- Ambulatory Surgical Clinic/Center
- Polson, MT
- NPI 1548626872
5294644381
-
- Community Based Hospice Care Agency
- Kalispell, MT
- NPI 1811062524
5294644381
-
- Radiology Clinic/Center
- Whitefish, MT
- NPI 1073362463
5294644381
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Kalispell Regional Medical Center Inc
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 27D1049562 | Logan Health Surgery Center - Kalispell | Certificate of waiver | Jan 9, 2028 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Logan Health - Conrad | 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.
-
- Skilled Nursing Facility
- Conrad, MT
- NPI 1265425854
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 423
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Kalispell, MT
- NPI 1740959915
-
- Family Nurse Practitioner
- Kalispell, MT
- NPI 1396253704
-
- Occupational Therapist
- Kalispell, MT
- NPI 1871937466
-
- Clinical Social Worker
- Kalispell, MT
- NPI 1912426602
-
- Physical Therapist
- Kalispell, MT
- NPI 1396106985
-
- Hematology & Oncology Physician
- Kalispell, MT
- NPI 1558535997
-
- Physician Assistant
- Kalispell, MT
- NPI 1912145467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785196800000",
"number": "1912945544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 SUNNYVIEW LN",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599013164",
"telephone_number": "406-257-6700",
"fax_number": "406-257-3612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 SUNNYVIEW LN",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599013164",
"telephone_number": "406-257-6700",
"fax_number": "406-257-3612"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KALISPELL REGIONAL MEDICAL CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-04",
"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": "10908",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100030425",
"state": "MT"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "krmcmedicalrecords@krhdirect.org",
"affiliation": "Y",
"affiliationName": "Kalispell Regional Medical Center, Inc",
"address_1": "111 Sunnyview Ln",
"city": "Kalispell",
"state": "MT",
"country_code": "US",
"postal_code": "599013164",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Logan Health Surgery Center - Kalispell",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kalispell, MT
- Kalispell Regional Medical Center, Inc
- Kalispell Regional Medical Center, Inc
- Kalispell Regional Medical Center, Inc
- Kalispell Regional Medical Center, Inc
- Kalispell Regional Medical Center, Inc
- Kalispell Regional Medical Center, Inc
- Kalispell Regional Medical Center, Inc
- Kalispell Regional Medical Center, Inc
- Kalispell Regional Medical Center, Inc
- Kalispell Regional Medical Center, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.