MEDICARE: CHRISTOPHER S ROST PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	245	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	96796	OTHER	MT	BLUE CROSS

General Provider Information

NPI Number	:	1457305898
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER S ROST PA-C

Provider Business Mailing Address
First Line	:	1315 US HIGHWAY 2 W
Second Line	:
City	:	KALISPELL
State	:	MT
Zip	:	59901-3413
Country	:	US
Telephone Number	:	406-287-6565
Fax Number	:

Provider Business Practice Location Address
First Line	:	1315 US HIGHWAY 2 W
Second Line	:
City	:	KALISPELL
State	:	MT
Zip	:	59901-3413
Country	:	US
Telephone Number	:	406-287-6565
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2006
Last Update Date	:	10/21/2024

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Directions to “ CHRISTOPHER S ROST PA-C” Practice Location

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