Healthcare Provider Details

I. General information

NPI: 1245283936
Provider Name (Legal Business Name): KALISPELL REGIONAL MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 11/27/2023
Certification Date: 06/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 HERITAGE WAY SUITE 202
KALISPELL MT
59901-3161
US

IV. Provider business mailing address

160 HERITAGE WAY SUITE 202
KALISPELL MT
59901-3161
US

V. Phone/Fax

Practice location:
  • Phone: 406-752-8433
  • Fax: 406-756-6768
Mailing address:
  • Phone: 406-752-8433
  • Fax: 406-756-6768

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
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