Healthcare Provider Details

I. General information

NPI: 1659767721
Provider Name (Legal Business Name): KALISPELL REGIONAL MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2015
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 HERITAGE WAY STE 2300
KALISPELL MT
59901-3167
US

IV. Provider business mailing address

350 HERITAGE WAY STE 2300
KALISPELL MT
59901-3167
US

V. Phone/Fax

Practice location:
  • Phone: 406-751-5455
  • Fax: 406-257-8996
Mailing address:
  • Phone: 406-751-5455
  • Fax: 406-257-8996

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number11486
License Number StateMT
# 2
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KEVIN ABEL
Title or Position: PRESIDENT
Credential:
Phone: 406-752-1724