NPIMap

Organization Active NPI

Glacier Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Cut Bank, MT
National Provider Identifier
1780764274
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
GLACIER COMMUNITY HEALTH CENTER INC
Practice address
519 E Main St
Cut Bank, MT 59427-3015
Phone
(406) 873-5670
Fax
(406) 873-5675
NPI assigned
Oct 17, 2006
Last updated
Sep 9, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
GLACIER COMMUNITY HEALTH CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Authorized official

Name
Mrs. Angela L Haas
Title
Chief Financial Officer
Phone
(406) 873-5670

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MT
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

519 E Main St
Cut Bank, MT 59427-3015

Mailing address

519 E Main St
Cut Bank, MT 59427-3015
Phone (406) 873-5670

Other identifiers 3

IdentifierTypeStateIssuer
67332OtherMTBLUE CROSS
000084542OtherMTMEDICARE PART B
730418MedicaidMT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050401000696 MT Part B Supplier - Clinic/Group Practice 6305732124 Receives reassigned benefits from 6 practitioners
Practice locations: Cut Bank, MT
O20081231000135 MT Part A Provider - Federally Qualified Health Center (FQHC) 6305732124 Practice locations: Cut Bank, MT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780764274. Details of each certification follow.

Federally qualified health center certification: CCN 271823

Legal name
GLACIER COMMUNITY HEALTH CENTER INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 8, 2004
Last certification
Mar 8, 2004
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Nov 5, 2003 in MT
Enrollment address
519 E Main St
Cut Bank, MT 59427-3015

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
27D1020526Glacier Community Health Center519 E Main St, Cut Bank, MT 59427Certificate of waiverMar 23, 2027

National Provider Directory

National Provider Directory
Tax ID family
Glacier Comm HLTH Ctr Inc3 organizations share this tax ID, including this one
Part of
Glacier Comm HLTH Ctr Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lisa Cline Individual 5% Or Greater Indirect Ownership InterestBoard Member Sep 1, 2018 11%
Janet Erikson Individual 5% Or Greater Indirect Ownership InterestBoard Member Jan 1, 2021 11%
Katherine Bremner Individual 5% Or Greater Indirect Ownership InterestBoard Member Jul 1, 2022 11%
Mona K Shortman Individual 5% Or Greater Indirect Ownership InterestBoard Member Feb 1, 2023 11%
Gary Coen Individual Corporate DirectorBoard Member Apr 1, 2013 11%
Nancy L Light Individual Corporate DirectorBoard Member Oct 1, 2004 11%
Kate Morrisette Individual 5% Or Greater Indirect Ownership InterestBoard Member Apr 1, 2023 11%
Judy R Vermulm Individual Corporate DirectorBoard Member Nov 1, 2008 11%
Michelle Nygaard Individual 5% Or Greater Indirect Ownership Interest Sep 16, 2023 11%
Roger Vermulm Individual Corporate DirectorBoard Member Aug 1, 2015 11%
Elizabeth Seglem Individual 5% Or Greater Indirect Ownership InterestInterim Ceo Sep 16, 2023 11%
Corporate OfficerInterim Ceo Sep 16, 2023 100%
W-2 Managing EmployeeInterim Ceo Sep 16, 2023 100%

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1780764274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 E MAIN ST",
            "city": "CUT BANK",
            "state": "MT",
            "postal_code": "594273015",
            "telephone_number": "406-873-5670",
            "fax_number": "406-873-5675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 E MAIN ST",
            "city": "CUT BANK",
            "state": "MT",
            "postal_code": "594273015",
            "telephone_number": "406-873-5670",
            "fax_number": "406-873-5675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLACIER COMMUNITY HEALTH CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GLACIER COMMUNITY HEALTH CENTER INC",
        "enumeration_date": "2006-10-17",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "HAAS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "406-873-5670",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MT",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "67332",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "000084542",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "730418",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cut Bank, MT

Sources for this page

Verify at the official NPI Registry.