GLACIER NEUROSCIENCE & SPINE LLC (NPI# 1114973781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114973781 |
| Entity Type | Organization |
| Organization Name | GLACIER NEUROSCIENCE & SPINE LLC |
| Other Organization Name | GLACIER NEUROLOGICAL ASSOCIATES |
| Practice Address |
200 Commons Way Kalispell MT 59901-1914 |
| Practice Telephone | 4067525095 |
| Practice Fax Number | 4067525098 |
| Mailing Telephone | 4067525095 |
| Mailing Fax Number | 4067525098 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2011-11-28 |
| Authorized Official Name | PATRICK BURNS (DIRECTOR) |
| Authorized Official Telephone | 4067525095 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Glacier Neurological Associates | Former Legal Business Name - Organization |
| Street Address |
200 COMMONS WAY |
| City | KALISPELL |
| State | MT |
| Zip Code | 59901-1914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659669224 | The Sleep Medicine Center Inc | Psychiatry & Neurology | 200 Commons Way, Suite D, Kalispell, MT 59901-1915 | 2011-07-18 |
| 1457647877 | Kalispell Regional Medical Center Inc | Psychiatry & Neurology | 200 Commons Way, Kalispell, MT 59901-1914 | 2011-06-23 |
| 1891982765 | Frank Seisaku Bishop | Neurological Surgery | 200 Commons Way, Suite 2, Kalispell, MT 59901-1915 | 2007-09-25 |
| 1568674075 | Brian Miller, PC | Physical Therapist | 200 Commons Way, Suite B, Kalispell, MT 59901 | 2007-05-04 |
| 1881733079 | Tim Gibbs Physical Therapy Inc | Clinic/Center | 200 Commons Way, Kalispell, MT 59901-1914 | 2007-02-05 |
| 1174689640 | Scott Paul Seager | Physician Assistant | 200 Commons Way, Suite 2, Kalispell, MT 59901-1915 | 2006-12-29 |
| 1467408088 | The Sleep Medicine Center Inc | Clinic/Center | 200 Commons Way, Suite C, Kalispell, MT 59901 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982226650 | Mountain Physical Therapy and Fitness Center LLC | Physical Medicine & Rehabilitation | 2593 Highway 2 East, Suite 6, Kalispell, MT 59901 | 2020-05-15 |
| 1164058350 | Jessica Leeann Abell | Physical Therapist | 1825 Highway 93 S. Suite C, Kalispell, MT 59901 | 2020-03-19 |
| 1588216535 | Diversified Therapeutic Services, Pllc | Clinic/Center | 30 E Washinton St, Suite A, Kalispell, MT 59901 | 2019-07-10 |
| 1467986216 | Jill Shaver | Counselor | 285 2nd Avenue Wn, Suite #100, Kalispell, MT 59901 | 2017-04-19 |
| 1003270810 | Angela Otto | Counselor | 17 2nd St E Ste 204, Kalispell, MT 59901 | 2016-04-07 |
| 1548626989 | Pamela Greskowiak | Counselor | 2282 Hwy 93 South, Suite #1, Kalispell, MT 59901 | 2016-01-14 |
| 1063894921 | Joel Booth | Dentist | 690 N Meridian Rd Ste 106, Kalispell, MT 59901 | 2015-06-26 |
| 1982085841 | Heather Reddig | Specialist | 751 Snowberry Trail, Kalispell, MT 59901 | 2015-06-16 |
| 1497147193 | Patricia Greene Hall | Psychologist | 1035 1st Ave W Fl 3, Kalispell, MT 59901 | 2015-03-04 |
| 1720478886 | Lori Mariani | Social Worker | 1605 Danielson Road, Kalispell, MT 59901 | 2015-01-28 |
| Find all providers in zip 59901 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366837585 | New Hope Medicine Clinical Preventative Services | Clinic/Center | 8 1st St E Ste 104, Kalispell, MT 59901-6119 | 2015-04-03 |
| 1164720769 | Kalispell Regional Med Center Inc | Clinic/Center | 75 Claremont St Ste Dhf, Kalispell, MT 59901-3585 | 2011-03-05 |
| 1538390844 | Evergreen Clinic PC | Clinic/Center | 2181 Highway 2 East, Suite 9, Kalispell, MT 59901-2858 | 2009-08-04 |
| 1689615874 | Evergreen, Inc | Clinic/Center | 2181 Hwy 2, East, Suite 9, Kalispell, MT 59901 | 2006-06-09 |
| 1184679391 | Northwest Orthopedics and Sports Medicine LLC | Clinic/Center | 350 Heritage Way Ste 1200, Kalispell, MT 59901-3160 | 2006-05-24 |
| 1154376671 | Applied Health Services Inc | Clinic/Center | 202 Conway Dr, Suite 100, Kalispell, MT 59901-3153 | 2006-05-23 |
| 1356394944 | Kalispell Regional Medical Center Inc | Clinic/Center | 202 Conway Drive, Suite 100, Kalispell, MT 59901-3153 | 2006-05-18 |
| 1770183741 | Kalispell Regional Medical Center, Inc | Clinic/Center | 350 Heritage Way Ste 1200, Kalispell, MT 59901-3160 | 2020-10-29 |
| 1336623313 | Ideal Telemedicine Services LLC | Clinic/Center | 1205 S Main St, Kalispell, MT 59901-5639 | 2018-09-17 |
| 1568945111 | Ideal Option, Pllc | Clinic/Center | 1205 S Main St, Kalispell, MT 59901-5639 | 2018-09-10 |
| Find all providers in KALISPELL | ||||
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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.