Healthcare Provider Details

I. General information

NPI: 1376809061
Provider Name (Legal Business Name): NORTH VALLEY HOSPITAL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2012
Last Update Date: 05/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3004 HOSPITAL WAY
WHITEFISH MT
59937
US

IV. Provider business mailing address

3004 HOSPITAL WAY
WHITEFISH MT
59937-7849
US

V. Phone/Fax

Practice location:
  • Phone: 406-862-4763
  • Fax: 406-862-4161
Mailing address:
  • Phone: 406-863-4763
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. KEVIN ABEL
Title or Position: CEO
Credential:
Phone: 406-863-3552