TRAILHEAD MEDICAL CARE LLC NPI 1275307449

NPI Information

  • NPI: 1275307449
  • Provider Name: TRAILHEAD MEDICAL CARE LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 02D2296070
  • Address: 729 NORTHWAY DR
    ANCHORAGE, AK
    ZIP 99508
  • Phone: (907) 644-3239

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NPI Details

TRAILHEAD MEDICAL CARE LLC is a family medicine in Anchorage, 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. TRAILHEAD MEDICAL CARE LLC NPI is 1275307449. The provider is registered as an organization entity type.

The provider's business location address is:

729 NORTHWAY DR
ANCHORAGE, AK
ZIP 99508-030
Phone: (907) 644-3239
Fax: (907) 644-3983

The provider's authorized official is Tiffany Jeanette Ell .
The authorized official title is Owner/member and has the following contact phone number (303) 990-1432.

The CLIA number assigned to this NPI record is 02D2296070 - other - np family clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/8/2023 and was last updated on 11/24/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareNo
2207Q00000XFamily MedicineYes

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: 11/21/2025

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