Provider Demographics
NPI:1467408088
Name:THE SLEEP MEDICINE CENTER INC
Entity Type:Organization
Organization Name:THE SLEEP MEDICINE CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:J
Authorized Official - Last Name:BURNS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:406-752-1729
Mailing Address - Street 1:200 COMMONS WAY
Mailing Address - Street 2:SUITE C
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901
Mailing Address - Country:US
Mailing Address - Phone:406-752-1729
Mailing Address - Fax:406-752-2519
Practice Address - Street 1:200 COMMONS WAY
Practice Address - Street 2:SUITE C
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901
Practice Address - Country:US
Practice Address - Phone:406-752-1729
Practice Address - Fax:406-752-2519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT5007261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0760097Medicaid
MT000094915OtherBLUE CROSS
MT000094915OtherBLUE CROSS
MT000083386Medicare ID - Type Unspecified