Organization
GLACIER COMMUNITY HEALTH CENTER INC
Active
Organization
GLACIER COMMUNITY HEALTH CENTER INC
Active
Parent organization
GLACIER COMMUNITY HEALTH CENTER INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GLACIER COMMUNITY HEALTH CENTER INC
Authorized official
MRS. ANGELA L HAAS (CHIEF FINANCIAL OFFICER)
(406) 873-5670
Entity
Organization
Contact information
Practice address
519 E MAIN ST, CUT BANK, MT 59427-3015
(406) 873-5670
(406) 873-5675
Mailing address
519 E MAIN ST, CUT BANK, MT 59427-3015
(406) 873-5670
(406) 873-5675
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
MT
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000084542
MEDICARE PART B
MT
01
—
67332
BLUE CROSS
MT
05
—
730418
—
MT
Enumeration date
10/17/2006
Last updated
10/10/2016
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