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STONE BROOK INN INC NPI 1407073463


NPI Information

NPI: 1407073463
Provider Name: STONE BROOK INN INC

Doing Business As: STONE BROOK INN II

Classification: Respite Care - 385H00000X
Entity Type: Organization
Address:
48420 MOOSE RUN RD
SOLDOTNA, AK
ZIP 99669
Phone: (907) 260-4498
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STONE BROOK INN INC is a respite care in Soldotna, AK. The provider is definition to come. STONE BROOK INN INC NPI is 1407073463. The provider is registered as an organization entity type.
The provider Is Doing Business As Stone Brook Inn Ii.

The provider's business location address is:

48420 MOOSE RUN RD
SOLDOTNA, AK
ZIP 99669
Phone: (907) 260-4498
Fax: (907) 260-4498

The provider's authorized official is Audra Hedman .
The authorized official title is President-administrator and has the following contact phone number (907) 262-1583.

The enumeration date for this NPI number is 4/19/2007 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
1385H00000XRespite CareALASKAYes

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
1HC9661MEDICAIDALASKA

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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