| |
210 Sunnyview Ln Suite 103 Kalispell MT 59901-3135 | |
(406) 752-8300 | |
(406) 752-3542 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 210 Sunnyview Ln, Kalispell, Montana |
Authorized Official Name and Position | Trudy B. Waggener (OFFICE MANAGER) |
Authorized Official Contact | 4067528300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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210 Sunnyview Ln Suite 103 Kalispell MT 59901-3135 Ph: (406) 752-8300 | 210 Sunnyview Ln Suite 103 Kalispell MT 59901-3135 Ph: (406) 752-8300 |
NPI Number | 1659431013 |
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Provider Enumeration Date | 12/08/2006 |
Last Update Date | 08/15/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659431013 | NPI | - | NPPES |
0032344 | Medicaid | MT | |
92168 | Other | MT | BCBS - MICHAEL SCHWALLER |
0437529 | Medicaid | MT | |
08110 | Other | MT | BCBS - WALLACE WILDER MD |
371330 | Other | MT | BCBS - VALERIE BEEBE |
0066495 | Medicaid | MT | |
95755 | Other | MT | BCBS - LYNN A. DYKSTRA MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 3655 (Montana) | Primary |
Ryan Chiropractic Clinic Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 690 N Meridian Rd, Ste 108, Kalispell, MT 59901 Phone: 406-755-6030 | |
Functional Medicine Associates Of Montana Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 195 Commons Loop Ste D, Kalispell, MT 59901 Phone: 406-501-6570 | |