GLACIER COMMUNITY HEALTH CENTER INC (NPI# 1780764274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780764274 |
| Entity Type | Organization |
| Organization Name | GLACIER COMMUNITY HEALTH CENTER INC |
| Practice Address |
519 E Main St Cut Bank MT 59427-3015 |
| Practice Telephone | 4068735670 |
| Practice Fax Number | 4068735675 |
| Mailing Telephone | 4068735670 |
| Mailing Fax Number | 4068735675 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2016-10-10 |
| Authorized Official Name | MRS. ANGELA L HAAS (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 4068735670 |
| Is Organization Subpart | Y |
| Parent Organization Name | GLACIER COMMUNITY HEALTH CENTER INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | MT | Other Service Providers | |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | MEDICARE PART B | 000084542 | 01 |
| MT | BLUE CROSS | 67332 | 01 |
| MT | 730418 | 05 |
| Street Address |
519 E MAIN ST |
| City | CUT BANK |
| State | MT |
| Zip Code | 59427-3015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750385340 | Marvin Clark Fultz | Family Medicine | 519 E Main St, Cut Bank, MT 59427-3015 | 2005-06-10 |
| 1225640121 | Christopher Calerich | Nurse Practitioner | 519 E Main St, Cut Bank, MT 59427-3015 | 2020-08-20 |
| 1598142838 | David Stanley Ketchell | Counselor | 519 E Main St, Cut Bank, MT 59427-3015 | 2015-05-06 |
| 1194133876 | Claire Louise Reynolds | Registered Nurse | 519 E Main St, Cut Bank, MT 59427-3015 | 2014-07-25 |
| 1508028895 | Athena Jane Ocampo Halol | Family Medicine | 519 E Main St, Cut Bank, MT 59427-3015 | 2008-06-27 |
| 1518160100 | Marsha Lynn Atherton | Family Medicine | 519 E Main St, Cut Bank, MT 59427-3015 | 2007-06-09 |
| 1104963610 | Del Bremer Coolidge | Family Medicine | 519 E Main St, Cut Bank, MT 59427-3015 | 2007-01-31 |
| 1801901582 | Cornelia Simunic | Nurse Practitioner | 519 E Main St, Cut Bank, MT 59427-3015 | 2006-08-20 |
| 1497860183 | James M. Cooper | Obstetrics & Gynecology | 519 E Main St, Cut Bank, MT 59427-3015 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518084284 | Kathleen Egan Egan Broere | Counselor | 60 Loring Rd., Cut Bank, MT 59427 | 2007-03-26 |
| 1043385248 | Marianne M. Wilson | Registered Nurse | 802 2nd Street Se, Cut Bank, MT 59427 | 2006-11-22 |
| 1356341051 | Glacier Care Center, Inc. | Assisted Living Facility | 707 3rd St Se, Cut Bank, MT 59427 | 2005-07-26 |
| 1386826154 | Henry Fritz Thies | Pharmacist | 601 West Main Street, Cut Bank, MT 59427 | 2007-12-03 |
| 1598393555 | Ideal Balance Pllc | Community/Behavioral Health | 615 W Main St, Cut Bank, MT 59427-2802 | 2020-03-27 |
| 1801342118 | Aaron Van Wagoner | Physical Therapist | 615 W Main St, Cut Bank, MT 59427-2802 | 2016-08-27 |
| 1407843337 | Ronald R Campbell | Pharmacist | 601 W Main St, Cut Bank, MT 59427-2804 | 2005-10-05 |
| 1881605392 | Drugmart Inc | Pharmacy | 601 W Main St, Northern Village Mall, Cut Bank, MT 59427-2804 | 2006-08-10 |
| 1487253027 | Shreya Patel | Pharmacist | 501 W Main St, Cut Bank, MT 59427-2823 | 2020-10-24 |
| 1265046478 | Quinn Allen Spinler | Pharmacist | 501 W Main St, Cut Bank, MT 59427-2823 | 2020-09-04 |
| Find all providers in zip 59427 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1336767789 | Confederated Salish & Kootenai Tribes of The Flathead Reservation | Clinic/Center | 35928 Joe Mcdonald Drive, Pablo, MT 59855 | 2020-07-13 |
| 1629696067 | Confederated Salish & Kootenai Tribes of The Flathead Reservation | Clinic/Center | 71972 Bitterroot Jim Road, Arlee, MT 59821 | 2020-07-13 |
| 1962020461 | Confederated Salish & Kootenai Tribes of The Flathead Reservation | Clinic/Center | #5 Fourth Ave East, Polson, MT 59860-2117 | 2020-07-10 |
| 1619595113 | Confederated Salish & Kootenai Tribes of The Flathead Reservation | Clinic/Center | 33116 Us Highway 93 North, Elmo, MT 59915-7707 | 2020-07-10 |
| 1750926762 | Partnership Health Center Inc | Clinic/Center | 901 S 6th St W, Missoula, MT 59801-3752 | 2019-11-13 |
| 1790275709 | Marias Healthcare Services Inc | Clinic/Center | 1 4th Ave Se, Conrad, MT 59425-2323 | 2018-05-15 |
| 1215436092 | Yellowstone City-county Health Department | Clinic/Center | 515 N 27th St, Billings, MT 59101 | 2018-02-07 |
| 1902305790 | Yellowstone City-county Health Department | Clinic/Center | 3005 1st Ave S, Billings, MT 59101 | 2018-02-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.