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NPI Code Detail

MEDICARE: KALISPELL REGIONAL MEDICAL CENTER INC

MEDICARE: KALISPELL REGIONAL MEDICAL CENTER INC
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
1261Q00000XClinic/Center

General Provider Information

NPI Number : 1720031412
Entity Type Code : Organization
Provider Name (Legal Business Name) : KALISPELL REGIONAL MEDICAL CENTER INC
Provider Business Mailing Address
First Line : PO BOX 2069
Second Line :
City : EUREKA
State : MT
Zip : 59917-2069
Country : US
Telephone Number : 406-297-3145
Fax Number : 406-297-7023
Provider Business Practice Location Address
First Line : 304 OSLOSKI RD
Second Line :
City : EUREKA
State : MT
Zip : 59917-9217
Country : US
Telephone Number : 406-297-3145
Fax Number : 406-297-3364
Authorized Official
Title or Position : CEO/PRESIDENT
Name : VELINDA J STEVENS
Credential :
Telephone Number : 406-752-1724
Provider Enumeration Date : 05/17/2006
Last Update Date : 04/05/2012

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Directions to “KALISPELL REGIONAL MEDICAL CENTER INC ” Practice Location

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