PROVIDENCE HEALTH & SERVICES - WASHINGTON NPI 1093720534

NPI Information

PROVIDENCE HEALTH & SERVICES - WASHINGTON is a family medicine in Palmer, 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. PROVIDENCE HEALTH & SERVICES - WASHINGTON NPI is 1093720534. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Providence Matanuska Health Care.

The provider's business location address is:

2250 S. WOODWORTH LOOP
SUITE 101
PALMER, AK
ZIP 99645
Phone: (907) 761-5900
Fax: (907) 761-5975

The provider's authorized official is Mark Thomas Palmer .
The authorized official title is Clinic Administrator and has the following contact phone number (907) 761-5916.

The enumeration date for this NPI number is 7/31/2006 and was last updated on 12/13/2011.

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:

Other Identifiers

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