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MEDICAL NETWORK OF ALASKA LLC NPI 1831763911


NPI Information

NPI: 1831763911
Provider Name: MEDICAL NETWORK OF ALASKA, LLC

Doing Business As: CAPSTONE DIABETES AND ENDOCRINOLOGY CENTER

Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

CLIA Number: 02D2280397

Address:
3331 E MERIDIAN PARK LOOP
WASILLA, AK
ZIP 99654
Phone: (907) 357-9590
Get Directions

MEDICAL NETWORK OF ALASKA, LLC is an endocrinology and diabetes and metabolism internal medicine in Wasilla, AK. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. MEDICAL NETWORK OF ALASKA, LLC NPI is 1831763911. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Capstone Diabetes And Endocrinology Center.

The provider's business location address is:

3331 E MERIDIAN PARK LOOP
WASILLA, AK
ZIP 99654-294
Phone: (907) 357-9590

The provider's authorized official is Jacquelyn Renee Blomker .
The authorized official title is Director Of Revenue Cycle and has the following contact phone number (907) 357-9590.

The CLIA number assigned to this NPI record is 02D2280397 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/13/2021 and was last updated on 8/2/2021.


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
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismYes

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
12131798OTHERALASKASTATE OF ALASKA BUSINESS LICENSE

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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