Provider Demographics
NPI:1073720363
Name:FLATHEAD HEALTH AND FITNESS LLC
Entity Type:Organization
Organization Name:FLATHEAD HEALTH AND FITNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:REESE
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:406-752-2438
Mailing Address - Street 1:300 1ST AVE WEST
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901
Mailing Address - Country:US
Mailing Address - Phone:406-752-2438
Mailing Address - Fax:406-752-2367
Practice Address - Street 1:300 1ST AVE WEST
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901
Practice Address - Country:US
Practice Address - Phone:406-752-2438
Practice Address - Fax:406-752-2367
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT61481OtherBCBS