Healthcare Provider Details
I. General information
NPI: 1902859614
Provider Name (Legal Business Name): APPLIED HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/17/2006
Last Update Date: 04/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
350 HERITAGE WAY SUITE 1300
KALISPELL MT
59901-3158
US
IV. Provider business mailing address
350 HERITAGE WAY SUITE 1300
KALISPELL MT
59901-3158
US
V. Phone/Fax
- Phone: 406-752-5170
- Fax: 406-752-5210
- Phone: 406-752-5170
- Fax: 406-752-5210
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
VELINDA
J
STEVENS
Title or Position: CEO/PRESIDENT
Credential:
Phone: 406-752-8433