GLACIER ONCOLOGY, PLLC – NPI #1275789901
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents.

Health Care Provider Taxonomy Code for Clinic/Center

GLACIER ONCOLOGY, PLLC is an AHC clinic located in KALISPELL, MT. NPPES has assigned the NPI number 1275789901 to GLACIER ONCOLOGY, PLLC on August 13, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. GLACIER ONCOLOGY, PLLC is also known by the name MICHAEL G GOODMAN, M.D.. The primary taxonomy selected by this provider is 261QX0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Oncology

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 ONCOLOGY, PLLC below.

NPI Profile for
GLACIER ONCOLOGY, PLLC

NPI Number
1275789901
Enumeration Date

(about 18 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 ONCOLOGY, PLLC
Other Name: MICHAEL G GOODMAN, M.D.
Primary location
75 CLAREMONT ST
SUITE E
KALISPELL, MT 59901-3585
Phone: (406) 752-7600 Fax: (406) 752-7614
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MICHAEL GOODMAN
SOLE PROPRIETOR
Phone: (406) 752-7600
Updated
Identifiers

Identifiers for GLACIER ONCOLOGY, PLLC

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
OTHERBLUE CROSS BLUE SHIELDMT011071
OTHERRAILROAD MEDICAREMT830004450
MEDICAIDMT0105825
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
261QX0200X
- Clinic/Center / Oncology (Primary)		 MT 8025

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.