Who We Are

Josh Smith, FNP, Carol Bridges, M.D., & Kathy Dexter, FNP.

Our Vision

At CostCare Direct, our goal is to be as readily accessible for diagnosing, treating, and triage so that you can keep your costs down with less referral and ER visits. Our providers are trained in family medicine and have urgent and emergency medical experience, covering a wide breadth of health care knowledge.

Our Providers

Carol Bridges M.D.

Carol was Born in Southern California. She attended the University of California, Irvine (UCI) from 1987-1991, UCI School of Medicine from 1991-1995, and completed her residency through the University of Washington family medicine program in Spokane (1995-98). She then moved to Missoula where she gained employment at Community Medical Center, running a full spectrum family medicine practice, including delivering babies, until 2004. Later, her skills were broadened as she was recruited into the ER and Fast Track where she worked until 2007. That same year she co-founded CostCare as a single urgent care with her partner Lesley VonEschen, PA-C. As time progressed, they expanded the model into two full urgent care centers and one family practice in Missoula and one in Helena, Montana. She is also the medical director and chief of staff for the critical access hospital in Townsend, Montana. She has five kids and loves Montana and the lifestyle it offers.

Josh Smith APRN-FNP

Josh is a family nurse practitioner and has been in family practice and urgent care medicine for the last 10 years. Prior to receiving his Masters of Science in Nursing, he worked primarily as an emergency nurse in Missoula and Fort Meyers, Florida. He moved to Missoula in 2002 in search of trout waters and adventure and found it hard to leave. After a two-year stint in Florida and its salt-water flats, he came back to Missoula and convinced his future wife to join him. They have been here ever since and  now established roots in the local community. They have three young children; Phin, Everett, and Carson. Josh enjoys all aspects of primary care and urgent care medicine but has a particular passion for forming bonds with his patients, getting to know them and their families, and being a part of keeping them healthy now and into the future. He also loves to educate, spending time with his patients to explain the ‘how’ and ‘why’ of disease, prevention, and treatment.

Kathy Dexter APRN-FNP

Kathy was born and raised in Gilroy, California and is still an avid lover of garlic. She moved to Idaho and started her education a little over 20 years ago as an EMT in 1996 when her children were still small. She became a paramedic in 2002, an RN in 2007 and worked in the ER and the ICU. She was also a part-time instructor for the local community college in Twin Falls, Idaho. In 2011 she climbed into an Air St. Luke’s helicopter and began her career as a flight nurse/paramedic. She obtained her BSN from Idaho State University and her doctorate of nursing practice from the University of Utah in 2016. She has a soft spot for public service, community health and teaching. Kathy loves a good backpacking adventure, camping and road biking. Montana is the perfect place for her. If she hasn’t already, she will tell you to go outside and get some sun on your face.

Ready To become a member or want to learn more about costcare Direct?

Call Now (406) 1541-3046 or click the link below.