Healthcare Provider Details

I. General information

NPI: 1285904599
Provider Name (Legal Business Name): KALISPELL REGIONAL MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2012
Last Update Date: 01/03/2012
Certification Date:
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 TaxonomyY
Taxonomy Code261QX0200X
TaxonomyOncology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: VELINDA J STEVENS
Title or Position: CEO/PRESIDENT
Credential:
Phone: 406-752-1724