OrganizationActive
Glacier General Medicine, LLC
NPI 1740571645 · General Practice Physician · Fairbanks, AK
Provider details
- NPI number
- 1740571645
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Slyvia Mccormick, Member(907) 374-8914
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Medical Physician Assistant363AM0700X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3419 Airport Way Ste B
Fairbanks, AK 99709-4761
Phone: (907) 374-8914
Fax: (907) 374-8915
Street-level locationGet directions
Mailing address
3419 Airport Way Ste B
Fairbanks, AK 99709-4761
Registry dates
- Enumerated
- 2011-04-26
- Last updated
- 2011-04-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.