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KALISPELL REGIONAL MEDICAL CENTER INC NPI 1912945544


NPI Information

NPI: 1912945544
Provider Name: KALISPELL REGIONAL MEDICAL CENTER, INC

Doing Business As: LOGAN HEALTH SURGERY CENTER - KALISPELL

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

Specialization: Ambulatory Surgical

CLIA Number: 27D1049562

Address:
111 SUNNYVIEW LN
KALISPELL, MT
ZIP 59901
Phone: (406) 257-6700
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KALISPELL REGIONAL MEDICAL CENTER, INC is an ambulatory surgical clinic center in Kalispell, MT. KALISPELL REGIONAL MEDICAL CENTER, INC NPI is 1912945544. The provider is registered as an organization entity type.
The provider Is Doing Business As Logan Health Surgery Center - Kalispell.

The provider's business location address is:

111 SUNNYVIEW LN
KALISPELL, MT
ZIP 59901-164
Phone: (406) 257-6700
Fax: (406) 257-3612

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 27D1049562 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/4/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory Surgical10908MONTANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10030615MEDICAIDMONTANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.