Glacier Ultrasound Service LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

GLACIER ULTRASOUND SERVICE LLC

Practice address

200 Aspen Loop
Kalispell, MT 59901-3312

Phone

(406) 471-6636

NPI assigned

Oct 12, 2020

Last updated

Jan 15, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Clay Naomi, RDMS

Title

Owner

Phone

(406) 471-6636

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shelley Naomi, PAC

  • Physician Assistant
  • Kalispell, MT
  • NPI 1871694463
  NPD

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610668800000",
    "number": "1144828260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ASPEN LOOP",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013312",
            "telephone_number": "406-471-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ASPEN LOOP",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013312",
            "telephone_number": "406-471-6636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLACIER ULTRASOUND SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-12",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A",
        "authorized_official_last_name": "NAOMI",
        "authorized_official_first_name": "CLAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-471-6636",
        "authorized_official_credential": "RDMS"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Glacier Ridge Pharmacy Inc (Glacier Ridge Pharmacy)
• Glacier Surgical Center, LLC (Rocky Mountain Surgical Suites)
• Glacier Surgical Inc.
• Glacier Valley Endodontics
• Grace Gladura, OTR/L
• Jessica Colleen Glover, F.N.P.-C.
• Mark Goerlitz-Jessen, M.D.
• Going Within Wellness LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; 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.