Provider Demographics
NPI:1568083699
Name:FLATHEAD COMMUNITY HEALTH CENTER, INC. DBA GREATER VALLEY HEALTH CENTE
Entity Type:Organization
Organization Name:FLATHEAD COMMUNITY HEALTH CENTER, INC. DBA GREATER VALLEY HEALTH CENTE
Other - Org Name:SYKES PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:STERHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-607-4913
Mailing Address - Street 1:202 2ND AVE W
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-4488
Mailing Address - Country:US
Mailing Address - Phone:406-257-4806
Mailing Address - Fax:406-756-5134
Practice Address - Street 1:202 2ND AVE W
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-4488
Practice Address - Country:US
Practice Address - Phone:406-257-4806
Practice Address - Fax:406-756-5134
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FLATHEAD COMMUNITY HEALTH CENTER INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-04-29
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT2050169OtherOTHER
MT0210301Medicaid
1060270001OtherNSC