Provider Demographics
NPI:1104049444
Name:KALISPELL REGIONAL MEDICAL CENTER
Entity type:Organization
Organization Name:KALISPELL REGIONAL MEDICAL CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:HINKLEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MSA
Authorized Official - Phone:406-751-4200
Mailing Address - Street 1:275 CORPORATE DR
Mailing Address - Street 2:SUITE 600
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-6037
Mailing Address - Country:US
Mailing Address - Phone:406-751-4200
Mailing Address - Fax:406-257-0355
Practice Address - Street 1:275 CORPORATE DR
Practice Address - Street 2:SUITE 600
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-6037
Practice Address - Country:US
Practice Address - Phone:406-751-4200
Practice Address - Fax:406-257-0355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2014-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health