Healthcare Provider Details

I. General information

NPI: 1962705376
Provider Name (Legal Business Name): KALISPELL REGIONAL MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2010
Last Update Date: 04/29/2024
Certification Date: 04/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 HERITAGE WAY SUITE 1100
KALISPELL MT
59901-3158
US

IV. Provider business mailing address

350 HERITAGE WAY SUITE 1100
KALISPELL MT
59901-3158
US

V. Phone/Fax

Practice location:
  • Phone: 406-752-8900
  • Fax: 406-752-8909
Mailing address:
  • Phone: 406-752-8900
  • Fax: 406-752-8909

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: KEVIN ABEL
Title or Position: PRESIDENT
Credential:
Phone: 406-752-1724