GLACIER MEDICAL ASSOCIATES NPI 1104882232

NPI Information

  • NPI: 1104882232
  • Provider Name: GLACIER MEDICAL ASSOCIATES
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 27D2323553
  • Address: 1111 BAKER AVE
    WHITEFISH, MT
    ZIP 59937
  • Phone: (406) 862-2515

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NPI Details

GLACIER MEDICAL ASSOCIATES is a family medicine in Whitefish, MT. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. GLACIER MEDICAL ASSOCIATES NPI is 1104882232. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1111 BAKER AVE
WHITEFISH, MT
ZIP 59937-901
Phone: (406) 862-2515
Fax: (406) 862-4229

The provider's authorized official is Kelli D Meuchel .
The authorized official title is Practice Administrator and has the following contact phone number (406) 862-2515.

The CLIA number assigned to this NPI record is 27D2323553 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/26/2006 and was last updated on 3/25/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineNo
2208000000XPediatricsNo
3207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
199882551MEDICAIDMONTANA
20676870001MEDICARE PINMONTANA
31104882232OTHERMONTANAGLACIER MEDICAL ASSOC NPI
4=========OTHERMONTANAFEIN
5000008287MEDICARE PINMONTANA
627D0411341OTHERMONTANACLIA ID#--LAB CERT
70026899OTHERWASHINGTONWASH. DEP LABOR GRP ID#
8CI2709MEDICARE PINMONTANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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