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ALASKA MEDICAL CLINICS LLC NPI 1316015480


NPI Information

NPI: 1316015480
Provider Name: ALASKA MEDICAL CLINICS, LLC

Doing Business As: WASILLA MEDICAL CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 02D0970564

Address:
1700 E PARKS HWY
#200
WASILLA, AK
ZIP 99654
Phone: (907) 373-6055
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ALASKA MEDICAL CLINICS, LLC is a family medicine in Wasilla, 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. ALASKA MEDICAL CLINICS, LLC NPI is 1316015480. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Wasilla Medical Clinic.

The provider's business location address is:

1700 E PARKS HWY
#200
WASILLA, AK
ZIP 99654-352
Phone: (907) 373-6055
Fax: (907) 373-6077

The provider's authorized official is Deborah Louise Maclean .
The authorized official title is Office Manager and has the following contact phone number (907) 341-7714.

The CLIA number assigned to this NPI record is 02D0970564 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/30/2006 and was last updated on 4/23/2014.


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
1207Q00000XFamily MedicineYes

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
1MDG016MEDICAIDALASKA
2MDG017MEDICAIDALASKA

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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