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GLACIER HEALTHCARE LLC NPI 1912212838


NPI Information

NPI: 1912212838
Provider Name: GLACIER HEALTHCARE, LLC

Former Legal Business Name: ADVANCED SURGICAL HEALTHCARE, LLC

Classification: Podiatrist - 213EP1101X
Entity Type: Organization

Specialization: Primary Podiatric Medicine

Address:
416 W. 15TH STREET
BUILDING 400, SUITE B
EDMOND, OK
ZIP 73013
Phone: (405) 285-8900
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GLACIER HEALTHCARE, LLC is a primary podiatric medicine podiatrist in Edmond, OK. GLACIER HEALTHCARE, LLC NPI is 1912212838. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Advanced Surgical Healthcare, Llc.

The provider's business location address is:

416 W. 15TH STREET
BUILDING 400, SUITE B
EDMOND, OK
ZIP 73013-688
Phone: (405) 285-8900
Fax: (405) 285-8921

The provider's authorized official is Chad Emery Huffmyer .
The authorized official title is President and has the following contact phone number (405) 285-8900.

The enumeration date for this NPI number is 8/16/2010 and was last updated on 10/27/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorNo
2122300000XDentistNo
3152W00000XOptometristNo
4213EP1101XPodiatristPrimary Podiatric MedicineYes

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: 4/28/2024

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