MEDICARE: JOHN V VANARENDONK MD

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	207P00000X	Emergency Medicine Physician	6150	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	93126	OTHER	MT	BLUE CROSS

General Provider Information

NPI Number	:	1801833421
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN V VANARENDONK MD

Provider Business Mailing Address
First Line	:	310 SUNNYVIEW LN
Second Line	:
City	:	KALISPELL
State	:	MT
Zip	:	59901-3129
Country	:	US
Telephone Number	:	406-752-1733
Fax Number	:

Provider Business Practice Location Address
First Line	:	310 SUNNYVIEW LN
Second Line	:	EMERGENCY DEPT
City	:	KALISPELL
State	:	MT
Zip	:	59901-3129
Country	:	US
Telephone Number	:	406-752-1708
Fax Number	:	406-755-0971

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

Provider Enumeration Date	:	06/01/2006
Last Update Date	:	01/21/2026

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Directions to “ JOHN V VANARENDONK MD” Practice Location

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