Organization
FLATHEAD VALLEY ORTHOPEDIC CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN MARK CHESTER (CFO)
(406) 752-7900
Entity
Organization
Contact information
Practice address
111 SUNNYVIEW LN, KALISPELL, MT 59901-3164
(406) 752-7900
(406) 257-0253
Mailing address
111 SUNNYVIEW LN, KALISPELL, MT 59901-3164
(406) 752-7900
(406) 257-0253
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09759-1
BLUE CROSS
MT
05
—
1588774574
—
MT
01
—
CP7767
RAILROAD MEDICARE
—
Enumeration date
08/30/2006
Last updated
08/18/2015
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