Organization
COMMUNITY MEDICAL CENTER DIALYSIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM E WOOD II (PRESIDENT)
(615) 327-3061
Entity
Organization
Contact information
Practice address
1325 S RESERVE ST, MISSOULA, MT 59801-4759
(406) 728-6585
(406) 728-6586
Mailing address
135 COMMONS WAY, KALISPELL, MT 59901-1900
(406) 756-5565
(406) 756-7712
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
08/10/2018
Last updated
09/26/2019
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