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UROLOGY ASSOCIATES P.C. NPI 1952764920


NPI Information

NPI: 1952764920
Provider Name: UROLOGY ASSOCIATES, P.C.

Doing Business As: GLACIER MEN'S HEALTHCARE

Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 27D2124864

Address:
350 HERITAGE WAY STE 2300
KALISPELL, MT
ZIP 59901
Phone: (406) 752-8456
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UROLOGY ASSOCIATES, P.C. is an urology in Kalispell, MT. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. UROLOGY ASSOCIATES, P.C. NPI is 1952764920. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Glacier Men's Healthcare.

The provider's business location address is:

350 HERITAGE WAY STE 2300
KALISPELL, MT
ZIP 59901-167
Phone: (406) 752-8456
Fax: (406) 752-1443

The provider's authorized official is John Andenoro .
The authorized official title is Co-owner/ Physician and has the following contact phone number (406) 758-0624.

The CLIA number assigned to this NPI record is 27D2124864 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/29/2016 and was last updated on 3/29/2016.


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
1208800000XUrologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000080612OTHERMEDICARE PTAN

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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