KALISPELL REGIONAL MEDICAL CENTER INC NPI 1548626872

NPI Information

NPI: 1548626872
Provider Name: KALISPELL REGIONAL MEDICAL CENTER INC

Doing Business As: LOGAN HEALTH SURGERY CENTER - POLSON

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 27D2008630

Address:
106 RIDGEWATER DR STE B
POLSON, MT
ZIP 59860
Phone: (406) 883-1911
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KALISPELL REGIONAL MEDICAL CENTER INC is an ambulatory surgical clinic center in Polson, MT. KALISPELL REGIONAL MEDICAL CENTER INC NPI is 1548626872. The provider is registered as an organization entity type.
The provider Is Doing Business As Logan Health Surgery Center - Polson.

The provider's business location address is:

106 RIDGEWATER DR STE B
POLSON, MT
ZIP 59860-977
Phone: (406) 883-1911

The provider's authorized official is Craig J Lambrecht .
The authorized official title is President/chief Executive Officer and has the following contact phone number (406) 752-1724.

The CLIA number assigned to this NPI record is 27D2008630 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 12/31/2015 and was last updated on 7/1/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	MED-PHYS-LIC-36235	MONTANA	Yes

What is NPI?

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This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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