GLACIER ONCOLOGY – NPI #1891151122
Internal Medicine

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Health Care Provider Taxonomy Code for Internal Medicine

GLACIER ONCOLOGY is a provider located in KALISPELL, MT. NPPES has assigned the NPI number 1891151122 to GLACIER ONCOLOGY on December 31, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GLACIER ONCOLOGY” is a dba name, the actual legal business name for this organization is KALISPELL REGIONAL MEDICAL CENTER INC. The primary taxonomy selected by this provider is 207RH0003X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology & Oncology

The NPI profile was previously updated about 9 years ago on Oct 04, 2017. 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 below.

NPI Profile for
KALISPELL REGIONAL MEDICAL CENTER INC

NPI Number
1891151122
Enumeration Date

(more than 10 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
KALISPELL REGIONAL MEDICAL CENTER INC
Doing Business As (dba): GLACIER ONCOLOGY
Primary location
75 CLAREMONT ST
SUITE E
KALISPELL, MT 59901-3585
Phone: (406) 752-7600 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
PAMELA ROBERTSON
PRESIDENT/CHIEF EXECUTIVE OFFICER
Phone: (406) 752-1724
Updated
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
207RH0003X
- Internal Medicine / Hematology & 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.