KALISPELL VA CLINIC (847) INSTITUTION (4)

Name	Value
NAME	KALISPELL VA CLINIC
STATE	MONTANA
STREET ADDR. 1	31 3 MILE DR
CITY	KALISPELL
ZIP	59901-3099
OFFICIAL VA NAME	KALISPELL VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 19 PARENT FACILITY PARENT OF ASSOCIATION: FORT HARRISON MEDICAL CENTER
BILLING FACILITY NAME	KALISPELL VA CLINIC
EFFECTIVE DATE/TIME	2007-01-08 00:00:00 STATUS: ACTIVE NPI: 1376599787
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	MOUNTAIN
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	436GF
IDENTIFIER	CODING SYSTEM: NPI ID: 1376599787 CODING SYSTEM: VASTANUM ID: 436GF CODING SYSTEM: CLIA ID: 27D1002258