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ALASKA CHILDRENS HEART CENTER NPI 1184751075


NPI Information

NPI: 1184751075
Provider Name: ALASKA CHILDRENS HEART CENTER
Classification: Pediatrics - 2080P0202X
Entity Type: Organization

Specialization: Pediatric Cardiology

CLIA Number: 02D2041524

Address:
3260 PROVIDENCE DR
SUITE 532
ANCHORAGE, AK
ZIP 99508
Phone: (907) 565-2242
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ALASKA CHILDRENS HEART CENTER is a pediatric cardiology pediatrics in Anchorage, AK. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. ALASKA CHILDRENS HEART CENTER NPI is 1184751075. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3260 PROVIDENCE DR
SUITE 532
ANCHORAGE, AK
ZIP 99508-615
Phone: (907) 565-2242
Fax: (907) 565-4502

The provider's authorized official is Joseph E Beaty .
The authorized official title is Billing Agent and has the following contact phone number (907) 770-2301.

The CLIA number assigned to this NPI record is 02D2041524 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/27/2007 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0202XPediatricsPediatric CardiologyALASKAYes

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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