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SCH270051-27 KALISPELL REGIONAL MEDICAL CENTER (Terminated)
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Main Details
Name
KALISPELL REGIONAL MEDICAL CENTER
Subdivision Name
Eureka Prompt Care
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH270051-27
Medicare Provider Number
270051
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/4/2013
Participating Start Date
1/1/2014
Participating Approval Date
11/3/2013
Last Recertification Date
11/7/2017
Termination Date
Termination Reason
4/1/2018
Hospital Outpatient facility no longer eligible
Contacts
Authorizing Official
Kalispell Regional Healthcare
Craig O Boyer, Chief Financial Officer
(406) 752-5111
Primary Contact
Kalispell Regional
Dennice J Taylor, Accountant II, 340b Analyst
(406) 751-6560
Addresses
Street Address
304 Osloski Road
Eureka, MT 59917
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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