GLACIER PROSTHETIC CARE, INC.
NPI 1750410825
Prosthetic/Orthotic Supplier in Ponderay, ID

Active since March 05, 2007
205 VERMEER DR, SUITE C, PONDERAY, ID 83852(208) 255-4106(208) 255-4102 Get Directions Write a Review

NPPES record last updated: November 18, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Glacier Prosthetic Care, Inc. NPPES

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

GLACIER PROSTHETIC CARE, INC. (NPI 1750410825) is a healthcare organization registered as a prosthetic/orthotic supplier in Ponderay, Idaho and active in the NPI registry since March 2007. The organization lists Gina Carpenter, Vice President, as its authorized official.

NPPES Registry Identity

NPI1750410825
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameGLACIER PROSTHETIC CARE, INC.
Location Address205 VERMEER DR, SUITE CPonderay, ID 83852-1660
Mailing Address985 N Meridian RdKalispell, MT 59901-3539 · (406) 755-3344 · Fax (406) 755-2746
Fax(208) 255-4102
Organization SubpartNo
Authorized OfficialGina CarpenterVice President · (406) 755-3344
Enumeration DateMarch 5, 2007
Last NPPES UpdateNovember 18, 2009
NPI 1750410825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
License Licensed in WA · 385
Definition

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

205 VERMEER DR, Ponderay, ID 83852

Other Identifiers 2

Medicare NSC3946190002ID
Medicaid807555300ID

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 Prosthetic Care, Inc.'s NPI number?

The NPI number for Glacier Prosthetic Care, Inc. is 1750410825. It was assigned to this organization in the NPPES registry on March 5, 2007.

Where is Glacier Prosthetic Care, Inc. located?

Glacier Prosthetic Care, Inc. is located at 205 Vermeer Dr Suite C, Ponderay, ID 83852. The listed phone number is (208) 255-4106.

What is Glacier Prosthetic Care, Inc.'s specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Glacier Prosthetic Care, Inc. was last updated on November 18, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.