Organization
KALISPELL REGIONAL MEDICAL CENTER INC
Active
Other names
Northwest Specialty Clinics
Organization subpart
No
Provider details
NPI number
Authorized official
VELINDA J STEVENS (CEO/PRESIDENT)
(406) 752-1724
Entity
Organization
Contact information
Practice address
1111 BAKER AVE, SUITE 2, WHITEFISH, MT 59937-2901
(406) 863-9340
(406) 863-9342
Mailing address
PO BOX 4875, WHITEFISH, MT 59937-4875
(406) 863-9340
(406) 863-9342
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208600000X
Surgery Physician
Primary
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Enumeration date
04/19/2012
Last updated
04/20/2012
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