GLACIER CLINIC LLC (NPI# 1265921639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265921639 |
| Entity Type | Organization |
| Organization Name | GLACIER CLINIC LLC |
| Practice Address |
99 Mills Spring Rd Ste 1 Eureka MT 59917 |
| Mailing Address |
505 2nd St E Kalispell MT 59901-4515 |
| Practice Telephone | 4067949515 |
| Mailing Telephone | 4067949515 |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2018-05-18 |
| Authorized Official Name | CHAD KINGERY (DIRECTOR OF COUNSELING) |
| Authorized Official Telephone | 4067949515 |
| Authorized Official Credential | LAC LCPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
99 MILLS SPRING RD STE 1 |
| City | EUREKA |
| State | MT |
| Zip Code | 59917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154892370 | Danielle Bartley | Counselor | 235 7th Street East, Eureka, MT 59917 | 2018-12-16 |
| 1619462801 | Carl William Florey | Massage Therapist | 626 Sherman Creek Road, Eureka, MT 59917 | 2018-06-29 |
| 1609367143 | Chelsea Mae Torres | Massage Therapist | 1711 Hwy 37, Eureka, MT 59917 | 2018-05-21 |
| 1568759249 | Lincoln County Community Health Center | Clinic/Center | 100 Dewey Ave, Eureka, MT 59917 | 2011-07-01 |
| 1346534393 | Jacob Sparks | Marriage & Family Therapist | 77 Trails End Rd, Eureka, MT 59917 | 2011-06-07 |
| 1588953632 | Grizzly Eye Center, PC | Optometrist | 317 Dewey Avenue, Eureka, MT 59917 | 2011-03-29 |
| 1881996981 | Home Sweet Home | Assisted Living Facility | 144 Tobacco Valley View Drive, Eureka, MT 59917 | 2010-11-22 |
| 1679889240 | Larry J Lawler | Counselor | 403 1st. Ave. East, Eureka, MT 59917 | 2010-08-20 |
| 1689859654 | Karen Joann Lee | Dental Hygienist | 1210 Highway 93 N, Eureka, MT 59917 | 2008-01-08 |
| 1427259407 | Richard Dee Brewer | Pharmacist | 998 Hwy 93n, Eureka, MT 59917 | 2007-05-29 |
| Find all providers in zip 59917 | ||||
| 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). |
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|---|---|---|---|---|
| 1538650544 | Kordic Marriage & Family Counseling Prof. Corp. | Clinic/Center | 2386 Briarwood Cir, Eureka, CA 95503-7500 | 2018-05-24 |
| 1841470374 | Maple Lawn Homes Inc. | Clinic/Center | 700 N Main St, Eureka, IL 61530-1085 | 2007-11-13 |
| 1720031412 | Kalispell Regional Medical Center Inc | Clinic/Center | 304 Osloski Rd, Eureka, MT 59917-9217 | 2006-05-17 |
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|---|---|---|---|---|
| 1104423185 | Rising Phoenix Counseling Solutions | Clinic/Center | 210 N Higgins Ave Ste 222, Missoula, MT 59802-4443 | 2020-10-03 |
| 1790327302 | Cosmos Therapy Solutions, LLC | Clinic/Center | 715 Kensington Ave Ste 14, Missoula, MT 59801-5700 | 2019-10-15 |
| 1902448897 | Livingston Healthcare | Clinic/Center | 1429 W Montana St, Livingston, MT 59047-1530 | 2019-10-11 |
| 1124660279 | Livingston Healthcare | Clinic/Center | 309 Elliot St N, Wilsall, MT 59086-8501 | 2019-10-10 |
| 1467006049 | Livingston Healthcare | Clinic/Center | 102 View Vista Dr, Livingston, MT 59047-3528 | 2019-07-31 |
| 1013488733 | Traditional Oriental Medicine, Inc. | Clinic/Center | 300 N Willson Ave Ste 3002, Bozeman, MT 59715-3572 | 2018-12-06 |
| 1952881138 | Heavens Peak Healthcare LLC | Clinic/Center | 9540 9th St W, Columbia Falls, MT 59912 | 2018-08-17 |
| 1295214294 | Wholistic Healing | Clinic/Center | 104 Main St Sw, Ronan, MT 59864-2703 | 2018-08-09 |
| 1104339597 | Ideal Telemedicine Services, LLC | Clinic/Center | 1532 Ellis St Ste 104, Bozeman, MT 59715-8809 | 2017-11-08 |
| 1295254621 | Casterline Family Chiropractic LLC | Clinic/Center | 54171 Us Highway 2, Glasgow, MT 59230-1544 | 2017-09-18 |
| 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.