Organization
COUNTY OF FLATHEAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAROL JEAN CONRAD PT (ADMINISTRATOR)
(406) 751-6800
Entity
Organization
Contact information
Practice address
736 S MAIN ST, KALISPELL, MT 59901-5342
(406) 751-6800
(406) 751-6807
Mailing address
736 S MAIN STREET, KALISPELL, MT 59901
(406) 751-6800
(406) 751-6807
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
10785
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
740311
—
MT
Enumeration date
09/05/2006
Last updated
06/26/2012
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