Glacier Prosthetic Care Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

GLACIER PROSTHETIC CARE INC

Practice address

985 N Meridian Rd
Kalispell, MT 59901-3539

Phone

(406) 755-3344

NPI assigned

Jan 10, 2007

Organization subpart

No

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

Authorized official

Name

Kendall Carpenter, MS CPO LPO FAAOP

Title

President

Phone

(406) 755-3344

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1811046303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 N MERIDIAN RD",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 N MERIDIAN RD",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013539",
            "telephone_number": "406-755-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLACIER PROSTHETIC CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-755-3344",
        "authorized_official_credential": "MS CPO LPO FAAOP"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Kalispell, MT
• Providers in Kalispell, MT by specialty
• Prosthetic/Orthotic Supplier in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; 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.