Provider Demographics
NPI:1972965499
Name:FLATHEAD COUNTY
Entity Type:Organization
Organization Name:FLATHEAD COUNTY
Other - Org Name:FLATHEAD COMMUNITY HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:WINCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-751-8113
Mailing Address - Street 1:1035 1ST AVE W
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-5607
Mailing Address - Country:US
Mailing Address - Phone:406-751-8113
Mailing Address - Fax:406-758-2169
Practice Address - Street 1:200 NORTH ST
Practice Address - Street 2:
Practice Address - City:HUNGRY HORSE
Practice Address - State:MT
Practice Address - Zip Code:59919-9742
Practice Address - Country:US
Practice Address - Phone:406-751-8113
Practice Address - Fax:406-758-2169
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FLATHEAD COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-03-23
Last Update Date:2016-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)