Provider Demographics
NPI:1326026048
Name:RICE, ALAN MICHAEL (MD)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:MICHAEL
Last Name:RICE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 WINDWARD WAY STE 101
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-2618
Mailing Address - Country:US
Mailing Address - Phone:406-758-7888
Mailing Address - Fax:406-758-7898
Practice Address - Street 1:430 WINDWARD WAY STE 101
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-2618
Practice Address - Country:US
Practice Address - Phone:406-758-7888
Practice Address - Fax:406-758-7898
Is Sole Proprietor?:No
Enumeration Date:2006-01-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT525772080P0205X
TXN2260208000000X, 2080P0205X
GA066055208000000X, 2080P0205X
NV101032080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002018115Medicaid
GA182541OtherWELLCARE
SCQ00956Medicaid
GA003109672AMedicaid
GAP00936357OtherRR MEDICARE
GA01457575OtherAMERIGROUP
NV003102015Medicaid
GA003109672BMedicaid
GA202I461524Medicare PIN
GA003109672BMedicaid
NV002018115Medicaid