Active NPI
Kalispell Regional Medical Center, Inc
- Community Based Hospice Care Agency
- Ronan, MT
National Provider Identifier
1932274636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 9964
- Legal business name
- KALISPELL REGIONAL MEDICAL CENTER, INC
- Practice address
- 711 Main St SW
Ronan, MT 59864-2502 - Phone
- (406) 676-7300
- Fax
- (406) 676-3606
- NPI assigned
- Nov 21, 2006
- Reactivated
- Oct 11, 2007
- Organization subpart
- Yes
- Parent organization
- KALISPELL REGIONAL MEDICAL CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Barbara Hinkley, RN, MSA
- Title
- Director Home Options
- Phone
- (406) 751-4230
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 9964 | MT | Primary |
Addresses
Primary practice location
711 Main St SW
Ronan, MT 59864-2502
Mailing address
275 Corporate Dr
Suite 600
Kalispell, MT 59901-6037
Phone (406) 751-4200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 350250 | Other | MT | BCBS MT |
| 750125 | Medicaid | MT |
Other names 1
- Lake County Home Options Hospice
National Provider Directory
National Provider Directory- Part of
- Kalispell Reg Hosp
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1398384000000",
"number": "1932274636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 CORPORATE DR",
"address_2": "SUITE 600",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599016037",
"telephone_number": "406-751-4200",
"fax_number": "406-257-0355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 MAIN ST SW",
"city": "RONAN",
"state": "MT",
"postal_code": "598642502",
"telephone_number": "406-676-7300",
"fax_number": "406-676-3606"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KALISPELL REGIONAL MEDICAL CENTER, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "KALISPELL REGIONAL MEDICAL CENTER",
"enumeration_date": "2006-11-21",
"last_updated": "2014-04-25",
"deactivation_date": "2007-08-31",
"reactivation_date": "2007-10-11",
"status": "A",
"authorized_official_last_name": "HINKLEY",
"authorized_official_first_name": "BARBARA",
"authorized_official_title_or_position": "DIRECTOR HOME OPTIONS",
"authorized_official_telephone_number": "406-751-4230",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN, MSA"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "MT",
"license": "9964",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MT",
"identifier": "350250",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "750125",
"state": "MT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lake County Home Options Hospice",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Ronan, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.