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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
1261QA1903XAmbulatory Surgical Clinic/Center10908MT

Other Identifiers

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

General Provider Information

NPI Number : 1912945544
Entity Type Code : Organization
Provider Name (Legal Business Name) : KALISPELL REGIONAL MEDICAL CENTER, INC
Provider Business Mailing Address
First Line : 111 SUNNYVIEW LN
Second Line :
City : KALISPELL
State : MT
Zip : 59901-3164
Country : US
Telephone Number : 406-257-6700
Fax Number : 406-257-3612
Provider Business Practice Location Address
First Line : 111 SUNNYVIEW LN
Second Line :
City : KALISPELL
State : MT
Zip : 59901-3164
Country : US
Telephone Number : 406-257-6700
Fax Number : 406-257-3612
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : CLINTON SEGER
Credential : MD
Telephone Number : 406-752-1724
Provider Enumeration Date : 06/04/2006
Last Update Date : 03/19/2026

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