Healthcare Provider Details

I. General information

NPI: 1154785822
Provider Name (Legal Business Name): KALISPELL REGIONAL MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2016
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 CONWAY DR STE 200
KALISPELL MT
59901-3153
US

IV. Provider business mailing address

202 CONWAY DR STE 200
KALISPELL MT
59901-3153
US

V. Phone/Fax

Practice location:
  • Phone: 844-215-7969
  • Fax:
Mailing address:
  • Phone: 844-215-7969
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number40780
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License Number40780
License Number StateMT
# 3
Primary TaxonomyN
Taxonomy Code2080P0206X
TaxonomyPediatric Gastroenterology Physician
License Number18743
License Number StateMT

VIII. Authorized Official

Name: JOSH NEFF
Title or Position: PRESIDENT
Credential:
Phone: 406-752-1724