GLACIER PEDIATRICS, LLC – NPI #1558500694
Clinic/Center

GLACIER PEDIATRICS, LLC is an AHC clinic located in JUNEAU, AK. NPPES has assigned the NPI number 1558500694 to GLACIER PEDIATRICS, LLC on February 12, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GLACIER PEDIATRICS, LLC below.

NPI Profile for
GLACIER PEDIATRICS, LLC

NPI Number
1558500694
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GLACIER PEDIATRICS, LLC
Primary location
1600 GLACIER AVE
JUNEAU, AK 99801-1430
Phone: (907) 586-1542 Fax: (907) 586-1849
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARYELLEN AROVOLD
ADVANCED NURSE PRACTIONER
Phone: (907) 586-1542
Updated
Identifiers

Identifiers for GLACIER PEDIATRICS, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDAKMD14482
MEDICAIDAKMD3544
MEDICAIDAKMD52881
MEDICAIDAKNP1539
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2300X
- Clinic/Center / Primary Care (Primary)		 AK 17

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.