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General NPI Number Information
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NPI Number | 1689992976
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Entity Type | Organization
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Legal Business Name | KALISPELL REGIONAL MEDICAL CENTER INC
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Dates
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Enumeration Date | 05/11/2010
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Last Update Date | 06/15/2010
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Provider Practice Location Address
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Address Line | 170 HUTTON RANCH ROAD
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City | KALISPELL
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State | MT
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Zip | 59901-0000
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Country | US
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Telephone | 406-751-5311
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Fax | 406-257-2010
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Provider Business Mailing Address
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Address Line | 202 CONWAY DR SUITE 100
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City | KALISPELL
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State | MT
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Zip | 59901-3153
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Country | US
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Telephone | 406-752-5656
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Fax | 406-755-0971
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | VELINDA J STEVENS
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Credential |
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Telephone | 406-752-1724
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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