Glacier Medical Associates

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

GLACIER MEDICAL ASSOCIATES

Practice address

1111 Baker Ave
Whitefish, MT 59937-2901

Phone

(406) 862-2515

Fax

(406) 862-4229

NPI assigned

Jul 24, 2014

Last updated

Jul 24, 2014By 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

Ms. Kelli Dawn Meuchel

Title

Practice Administrator

Phone

(406) 862-4114

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406160000000",
    "number": "1508274333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 BAKER AVE",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599372901",
            "telephone_number": "406-862-2515",
            "fax_number": "406-862-4229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 BAKER AVE",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599372901",
            "telephone_number": "406-862-2515",
            "fax_number": "406-862-4229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLACIER MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-24",
        "last_updated": "2014-07-24",
        "status": "A",
        "authorized_official_last_name": "MEUCHEL",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "406-862-4114",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Anne Givler, DPT
• Glacier Cardiovascular Consultants
• Glacier Functional Therapy (Northern Lights Functional Therapy)
• Glacier Medical Associates
• Glacier Medical Associates
• Glacier Oral and Maxillofacial Surgery PC
• Glacier Pilates and Physical Therapy, LLC
• Glacier Ridge Pharmacy Inc (Alpine Ridge Pharmacy)
• Joe Glickman Jr., M.D.
• Good Medicine Pharmacy Inc

• Health Maintenance Organization in Whitefish, MT
• Providers in Whitefish, MT by specialty
• Health Maintenance Organization in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; 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.