GLACIER GENERAL MEDICINE, LLC
NPI 1740571645
General Practice in Fairbanks, AK

Active since April 26, 2011
3419 AIRPORT WAY STE B, FAIRBANKS, AK 99709(907) 374-8914(907) 374-8915 Get Directions Write a Review

NPPES record last updated: April 26, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Glacier General Medicine, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLACIER GENERAL MEDICINE, LLC (NPI 1740571645) is a healthcare organization registered as a general practice in Fairbanks, Alaska and active in the NPI registry since April 2011. The organization lists Slyvia Mccormick, Member, as its authorized official.

NPPES Registry Identity

NPI1740571645
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameGLACIER GENERAL MEDICINE, LLC
Location Address3419 AIRPORT WAY STE BFairbanks, AK 99709-4761
Mailing Address3419 Airport Way Ste BFairbanks, AK 99709-4761 · (907) 374-8914 · Fax (907) 374-8915
Fax(907) 374-8915
Organization SubpartNo
Authorized OfficialSlyvia MccormickMember · (907) 374-8914
Enumeration DateApril 26, 2011
NPI 1740571645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
3419 AIRPORT WAY STE B, Fairbanks, AK 99709

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
3419 AIRPORT WAY STE B
FAIRBANKS, AK 99709
Surgery
3419 AIRPORT WAY STE B
FAIRBANKS, AK 99709

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glacier General Medicine, LLC's NPI number?

The NPI number for Glacier General Medicine, LLC is 1740571645. It was assigned to this organization in the NPPES registry on April 26, 2011.

Where is Glacier General Medicine, LLC located?

Glacier General Medicine, LLC is located at 3419 Airport Way Ste B, Fairbanks, AK 99709. The listed phone number is (907) 374-8914.

What is Glacier General Medicine, LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Glacier General Medicine, LLC was last updated on April 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.