Glacier Neuroscience & Spine LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

GLACIER NEUROSCIENCE & SPINE LLC

Practice address

200 Commons Way
Kalispell, MT 59901-1914

Phone

(406) 752-5095

Fax

(406) 752-5098

NPI assigned

May 25, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Patrick Burns, MD

Title

Director

Phone

(406) 752-5095

Specialties & licenses 1

Addresses

Other names 1

• Glacier Neurological Associates Former legal business name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322438400000",
    "number": "1114973781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 COMMONS WAY",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599011914",
            "telephone_number": "406-752-5095",
            "fax_number": "406-752-5098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 COMMONS WAY",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599011914",
            "telephone_number": "406-752-5095",
            "fax_number": "406-752-5098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLACIER NEUROSCIENCE & SPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2011-11-28",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "406-752-5095",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glacier Neurological Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Clinic/Center in Kalispell, MT
• Providers in Kalispell, MT by specialty
• Clinic/Center in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.