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IDENTITY INC. NPI 1225633449


NPI Information

NPI: 1225633449
Provider Name: IDENTITY INC.

Doing Business As: IDENTITY HEALTH CLINIC

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 02D2214231

Address:
307 E NORTHERN LIGHTS BLVD STE 101
ANCHORAGE, AK
ZIP 99503
Phone: (907) 865-3247
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IDENTITY INC. is a clinic center in Anchorage, AK. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). IDENTITY INC. NPI is 1225633449. The provider is registered as an organization entity type.
The provider Is Doing Business As Identity Health Clinic.

The provider's business location address is:

307 E NORTHERN LIGHTS BLVD STE 101
ANCHORAGE, AK
ZIP 99503-701
Phone: (907) 865-3247
Fax: (833) 992-2022

The provider's authorized official is Lynn Murphy .
The authorized official title is Operations Director and has the following contact phone number (907) 929-4528.

The CLIA number assigned to this NPI record is 02D2214231 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/4/2020 and was last updated on 3/11/2022.


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-SpecialtyNo
2261Q00000XClinic/CenterYes

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.