# KALISPELL REGIONAL MEDICAL CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Logan Health Palliative Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629668819
- **Authorized official:** WILLIAM D GIBSON (GENERAL COUNSEL)
- **Authorized official phone:** (406) 752-1724

## Contact information

- **Practice address:** 310 SUNNYVIEW LN, KALISPELL, MT 59901-3129
- **Practice address phone:** (406) 751-6725
- **Practice address fax:** (406) 758-5170
- **Mailing address:** 310 SUNNYVIEW LN, KALISPELL, MT 59901-3129
- **Mailing address phone:** (406) 751-6725
- **Mailing address fax:** (406) 758-5170

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/21/2021
- **Last updated:** 03/02/2021