NPI age
19 years
Enumerated 2007-03-05
● Active Type 2 · Organization
Glacier Prosthetic Care, Inc.
Glacier Prosthetic Care, Inc. is 1 of 48 prosthetic/orthotic supplier organizations in Idaho.
Primary specialty
Prosthetic/Orthotic Supplier
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Carpenter
Vice President
Last NPPES update
2009-11-18
Source: monthly bulk 2026-05
How this organization compares
Across 48 active prosthetic/orthotic supplier providers in Idaho.
NPI age
19 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-03Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
205 Vermeer Dr, Suite C
Ponderay, ID 838521660
Mailing address
985 N Meridian Rd
Kalispell, MT 599013539
Authorized official
Gina Carpenter
Vice President
📞 4067553344
Specialties
-
Prosthetic/Orthotic Supplier PrimaryAn 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 807555300 |
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.