| Greater Flathead Renal | |
|
135 Commons Way Kalispell MT 59901-1900 | |
| (406) 752-7406 | |
| (406) 752-7544 |
| Full Name | Greater Flathead Renal |
|---|---|
| Speciality | Internal Medicine - Nephrology |
| Location | 135 Commons Way, Kalispell, Montana |
| Authorized Official Name and Position | Karen D Larson (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 4067527582 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Flathead Renal 135 Commons Way Kalispell MT 59901-1900 Ph: (406) 752-7406 | Greater Flathead Renal 135 Commons Way Kalispell MT 59901-1900 Ph: (406) 752-7406 |
| NPI Number | 1891894317 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 03/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891894317 | NPI | - | NPPES |
| 8607 | Other | MT | BCBS |
| C43672 | Other | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | (* (Not Available)) | Primary |
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