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JOSE PRIMO N ANZILOTTI NPI 1982721981


NPI Information

NPI: 1982721981
Provider Name: JOSE PRIMO N ANZILOTTI

Doing Business As: HEART OF WILLOW MEDICAL CLINIC

Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 02D1025900

Address:
MILE 69.1 PARKS HIGHWAY
WILLOW, AK
ZIP 99688
Phone: (907) 495-4362
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JOSE PRIMO N ANZILOTTI is a general practice in Willow, AK. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee JOSE PRIMO N ANZILOTTI NPI is 1982721981. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Heart Of Willow Medical Clinic.

The provider's business location address is:

MILE 69.1 PARKS HIGHWAY
WILLOW, AK
ZIP 99688-349
Phone: (907) 495-4362
Fax: (907) 495-4363

The provider's authorized official is Joseph E Beaty .
The authorized official title is Billing Agent and has the following contact phone number (907) 770-2301.

The CLIA number assigned to this NPI record is 02D1025900 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/23/2007 and was last updated on 8/22/2020.


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
1208D00000XGeneral PracticeYes

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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