Healthcare Provider Details

I. General information

NPI: 1548180466
Provider Name (Legal Business Name): SPAULDING ANESTHESIA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3201 US HIGHWAY 93 N STE 2
KALISPELL MT
59901-9619
US

IV. Provider business mailing address

3201 US HIGHWAY 93 N STE 2
KALISPELL MT
59901-9619
US

V. Phone/Fax

Practice location:
  • Phone: 719-640-6860
  • Fax:
Mailing address:
  • Phone: 719-640-6860
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0000X
TaxonomyPain Management Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: CARLYE HALLET SPAULDING
Title or Position: OWNER
Credential: CRNA, NSPM-C
Phone: 719-640-6860