GLACIER SURGICAL INC. NPI 1750036174

NPI Information

  • NPI: 1750036174
  • Provider Name: GLACIER SURGICAL INC.
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 27D2267160
  • Address: 155 TIMBERWOLF PKWY
    KALISPELL, MT
    ZIP 59901
  • Phone: (417) 889-2040

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NPI Details

GLACIER SURGICAL INC. is an ambulatory surgical clinic center in Kalispell, MT. GLACIER SURGICAL INC. NPI is 1750036174. The provider is registered as an organization entity type.

The provider's business location address is:

155 TIMBERWOLF PKWY
KALISPELL, MT
ZIP 59901-218
Phone: (417) 889-2040

The provider's authorized official is Michelle Goodman .
The authorized official title is Authorized Official and has the following contact phone number (406) 253-3886.

The CLIA number assigned to this NPI record is 27D2267160 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/14/2022 and was last updated on 10/23/2024.

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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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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