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ARCTIC PAIN RELIEF CENTER LLC NPI 1184074189


NPI Information

NPI: 1184074189
Provider Name: ARCTIC PAIN RELIEF CENTER, LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
851 E WESTPOINT DR
SUITE B1
WASILLA, AK
ZIP 99654
Phone: (907) 631-4933
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ARCTIC PAIN RELIEF CENTER, LLC is a multi-specialty clinic center in Wasilla, AK. ARCTIC PAIN RELIEF CENTER, LLC NPI is 1184074189. The provider is registered as an organization entity type.

The provider's business location address is:

851 E WESTPOINT DR
SUITE B1
WASILLA, AK
ZIP 99654-191
Phone: (907) 631-4933
Fax: (907) 631-5933

The provider's authorized official is Kyle Bergquist .
The authorized official title is Owner and has the following contact phone number (206) 713-4721.

The enumeration date for this NPI number is 6/21/2016 and was last updated on 6/21/2016.


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
1261QM1300XClinic/CenterMulti-SpecialtyYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1K166120MEDICARE PINALASKA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.