MEDICARE: KALISPELL REGIONAL MEDICAL CENTER INC

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	341600000X	Ambulance
2	3416A0800X	Air Ambulance
3	282N00000X	General Acute Care Hospital	10007	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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417945627
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KALISPELL REGIONAL MEDICAL CENTER INC

Provider Business Mailing Address
First Line	:	310 SUNNYVIEW LANE
Second Line	:
City	:	KALISPELL
State	:	MT
Zip	:	59901-3129
Country	:	US
Telephone Number	:	406-752-5111
Fax Number	:

Provider Business Practice Location Address
First Line	:	310 SUNNYVIEW LN
Second Line	:
City	:	KALISPELL
State	:	MT
Zip	:	59901-3129
Country	:	US
Telephone Number	:	406-752-5111
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KEVIN ABEL
Credential	:
Telephone Number	:	406-752-1724

Provider Enumeration Date	:	10/11/2005
Last Update Date	:	04/15/2025

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