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TOK CLINIC LLC NPI 1043417959


NPI Information

NPI: 1043417959
Provider Name: TOK CLINIC, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
MILE 124.5 TOK CUTOFF
TOK, AK
ZIP 99780
Phone: (907) 883-5855
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TOK CLINIC, LLC is a family medicine in Tok, AK. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. TOK CLINIC, LLC NPI is 1043417959. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

MILE 124.5 TOK CUTOFF
TOK, AK
ZIP 99780-289
Phone: (907) 883-5855
Fax: (907) 883-1043

The provider's authorized official is David F Crawford .
The authorized official title is Administrator and has the following contact phone number (907) 883-5855.

The enumeration date for this NPI number is 7/3/2007 and was last updated on 7/7/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency MedicineAA 2011ALASKANo
2207Q00000XFamily MedicineAA 2011ALASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1MD 25592MEDICAIDALASKA
2K0000WFBMVMEDICARE ID-TYPE UNSPECIFIEDALASKAMEDICARE PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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