HOMER MEDICAL CLINIC A PROFESSIONAL CORP NPI 1134277312

NPI Information

HOMER MEDICAL CLINIC, A PROFESSIONAL CORP is a family medicine in Homer, 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. HOMER MEDICAL CLINIC, A PROFESSIONAL CORP NPI is 1134277312. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4136 BARTLETT ST
HOMER, AK
ZIP 99603-015
Phone: (907) 235-8586
Fax: (907) 235-6639

The provider's authorized official is William Harrison Bell .
The authorized official title is Owner and has the following contact phone number (907) 235-8586.

The CLIA number assigned to this NPI record is 02D0689749 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/6/2007 and was last updated on 12/26/2007.

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

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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