Healthcare Provider Details

I. General information

NPI: 1245767599
Provider Name (Legal Business Name): KALISPELL REGIONAL MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2017
Last Update Date: 11/27/2023
Certification Date: 06/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 SUNNYVIEW LN
KALISPELL MT
59901-3164
US

IV. Provider business mailing address

310 SUNNYVIEW LN
KALISPELL MT
59901-3129
US

V. Phone/Fax

Practice location:
  • Phone: 406-752-7900
  • Fax: 406-257-0253
Mailing address:
  • Phone: 406-758-7036
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: CRAIG J LAMBRECHT
Title or Position: PRESIDENT/CHIEF EXECUTIVE OFFICER
Credential: MD
Phone: 406-752-1724