| Flathead Pain & Regenerative Health Llc | |
|
80 Four Mile Dr Ste 16 Kalispell MT 59901-2665 | |
| (406) 314-4095 | |
| Not Available |
| Full Name | Flathead Pain & Regenerative Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 80 Four Mile Dr Ste 16, Kalispell, Montana |
| Authorized Official Name and Position | Sommer Dawn Ayers (OWNER) |
| Authorized Official Contact | 8653851931 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Flathead Pain & Regenerative Health Llc 80 Four Mile Dr Ste 16 Kalispell MT 59901-2665 Ph: (406) 314-4095 | Flathead Pain & Regenerative Health Llc 80 Four Mile Dr Ste 16 Kalispell MT 59901-2665 Ph: (406) 314-4095 |
| NPI Number | 1275247876 |
|---|---|
| Provider Enumeration Date | 01/09/2023 |
| Last Update Date | 01/24/2023 |
| Medicare PECOS PAC ID | 5092188003 |
|---|---|
| Medicare Enrollment ID | O20230222000687 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275247876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Sommer Ayers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679000996 PECOS PAC ID: 6103197181 Enrollment ID: I20201105002745 |
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