KALISPELL REGIONAL MEDICAL CENTER INC NPI 1720678097

NPI Information

KALISPELL REGIONAL MEDICAL CENTER, INC is a multi-specialty clinic center in Kalispell, MT. KALISPELL REGIONAL MEDICAL CENTER, INC NPI is 1720678097. The provider is registered as an organization entity type.
The provider Is Doing Business As Logan Health Diabetes Education & Prevention.

The provider's business location address is:

430 WINDWARD WAY STE 100
KALISPELL, MT
ZIP 59901-619
Phone: (406) 751-5454
Fax: (406) 756-2716

The provider's authorized official is William D Gibson .
The authorized official title is General Counsel and has the following contact phone number (406) 752-1724.

The CLIA number assigned to this NPI record is 27D2007777 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/21/2021 and was last updated on 3/2/2021.

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:

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