Organization
DIASPENSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA DAVIS (CEO)
(406) 647-0804
Entity
Organization
Contact information
Practice address
1001 S MAIN ST STE 600, KALISPELL, MT 59901-5635
(406) 647-0804
Mailing address
PO BOX 262, SPEARFISH, SD 57783-0262
(406) 647-0804
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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