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UPSTREAM FAMILY MEDICINE INC NPI 1063833937


NPI Information

NPI: 1063833937
Provider Name: UPSTREAM FAMILY MEDICINE INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 02D2078215

Address:
35743 KENAI SPUR HWY STE A
SOLDOTNA, AK
ZIP 99669
Phone: (907) 260-4468
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UPSTREAM FAMILY MEDICINE INC is a family medicine in Soldotna, 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. UPSTREAM FAMILY MEDICINE INC NPI is 1063833937. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

35743 KENAI SPUR HWY STE A
SOLDOTNA, AK
ZIP 99669-161
Phone: (907) 260-4468
Fax: (907) 260-4467

The provider's authorized official is Kristen Marie Iagulli Lee .
The authorized official title is Owner and has the following contact phone number (907) 260-4468.

The CLIA number assigned to this NPI record is 02D2078215 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/19/2013 and was last updated on 6/7/2021.


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
1207Q00000XFamily MedicineYes

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: 11/14/2023

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