GLACIER ONCOLOGY PLLC NPI 1275789901

NPI Information

NPI: 1275789901
Provider Name: GLACIER ONCOLOGY, PLLC

Other Name: MICHAEL G GOODMAN, M.D.

Classification: Clinic/Center - 261QX0200X
Entity Type: Organization

Specialization: Oncology

Address:
75 CLAREMONT ST
SUITE E
KALISPELL, MT
ZIP 59901
Phone: (406) 752-7600
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GLACIER ONCOLOGY, PLLC is an oncology clinic center in Kalispell, MT. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents. GLACIER ONCOLOGY, PLLC NPI is 1275789901. The provider is registered as an organization entity type.
The provider Other Name Is Michael G Goodman, M.d..

The provider's business location address is:

75 CLAREMONT ST
SUITE E
KALISPELL, MT
ZIP 59901-585
Phone: (406) 752-7600
Fax: (406) 752-7614

The provider's authorized official is Michael G Goodman .
The authorized official title is Sole Proprietor and has the following contact phone number (406) 752-7600.

The enumeration date for this NPI number is 8/13/2008 and was last updated on 8/13/2008.

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
1	261QX0200X	Clinic/Center	Oncology	8025	MONTANA	Yes

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
1	0105825	MEDICAID	MONTANA
2	830004450	OTHER	MONTANA	RAILROAD MEDICARE
3	010001107	MEDICARE PIN	MONTANA
4	G25956	MEDICARE UPIN	MONTANA
5	011071	OTHER	MONTANA	BLUE CROSS BLUE SHIELD

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: 11/14/2023

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