Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Base Vitality PLLC

Organization Primary Care Clinic/Center · NPI 1922807304

Base Vitality PLLC is a Primary Care Clinic/Center in Kalispell, Montana. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

103 Ponderosa Ln
Kalispell, MT 59901-6833
Phone: (406) 220-5058
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1922807304
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrea Emde — Doctor · (406) 220-5058
Other names Base Vitality Pllc
NPI enumeratedMarch 10, 2025
Last updated in NPPESMarch 10, 2025
Certification dateMarch 10, 2025
Mailing address103 Ponderosa Ln, Kalispell, MT 59901-6833

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