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NPI Code Detail

MEDICARE: FLATHEAD VALLEY ORTHOPEDIC CENTER, P.C.

MEDICARE: FLATHEAD VALLEY ORTHOPEDIC CENTER, P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies
2207X00000XOrthopaedic Surgery Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2CP7767OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
309759-1OTHERMTBLUE CROSS

General Provider Information

NPI Number : 1588774574
Entity Type Code : Organization
Provider Name (Legal Business Name) : FLATHEAD VALLEY ORTHOPEDIC CENTER, P.C.
Provider Business Mailing Address
First Line : 111 SUNNYVIEW LN
Second Line :
City : KALISPELL
State : MT
Zip : 59901-3164
Country : US
Telephone Number : 406-752-7900
Fax Number : 406-257-0253
Provider Business Practice Location Address
First Line : 111 SUNNYVIEW LN
Second Line :
City : KALISPELL
State : MT
Zip : 59901-3164
Country : US
Telephone Number : 406-752-7900
Fax Number : 406-257-0253
Authorized Official
Title or Position : CFO
Name : STEPHEN MARK CHESTER
Credential :
Telephone Number : 406-752-7900
Provider Enumeration Date : 08/30/2006
Last Update Date : 08/18/2015

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1528084399 — CHRISTOPHER C. MCEWEN MD
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59901-3164
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1013028950 — LAWRENCE JOHN IWERSEN M.D.
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59901-3164
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1730290610 — STANLEY HARLAND MAKMAN M.D.
Practice Location Address:
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59901-3164
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Practice Fax: 406-257-0253

Directions to “FLATHEAD VALLEY ORTHOPEDIC CENTER, P.C. ” Practice Location

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