HEARTLAND CARE ASSISTED LIVING NPI 1083820153

NPI Information

NPI: 1083820153
Provider Name: HEARTLAND CARE ASSISTED LIVING
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
704 WAVES RD
FAIRBANKS, AK
ZIP 99709
Phone: (907) 374-7738
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HEARTLAND CARE ASSISTED LIVING is a health service clinic center in Fairbanks, AK. HEARTLAND CARE ASSISTED LIVING NPI is 1083820153. The provider is registered as an organization entity type.

The provider's business location address is:

704 WAVES RD
FAIRBANKS, AK
ZIP 99709-409
Phone: (907) 374-7738
Fax: (907) 374-7738

The provider's authorized official is Laurie Kim Chesser-witmer .
The authorized official title is Owner and has the following contact phone number (907) 374-7738.

The enumeration date for this NPI number is 5/15/2007 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service	742338	ALASKA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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