Healthcare Provider Details

I. General information

NPI: 1144601923
Provider Name (Legal Business Name): KALISPELL REGIONAL MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2015
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

430 WINDWARD WAY STE 101
KALISPELL MT
59901-2618
US

IV. Provider business mailing address

430 WINDWARD WAY STE 101
KALISPELL MT
59901-2618
US

V. Phone/Fax

Practice location:
  • Phone: 406-758-7888
  • Fax: 406-758-7898
Mailing address:
  • Phone: 406-758-7888
  • Fax: 406-758-7898

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology 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