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ALYESKA FAMILY MEDICINE INC NPI 1447451737


NPI Profile

NPI: 1447451737
Provider Name: ALYESKA FAMILY MEDICINE INC
Classification:General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 02D1052312

Address:
3841 PIPER STREET
SUITE T3162
ANCHORAGE, AK
ZIP 99508
Get Directions

Phone: (907) 258-1258

ALYESKA FAMILY MEDICINE INC is a general practice in Anchorage, AK. ALYESKA FAMILY MEDICINE INC NPI is 1447451737. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3841 PIPER STREET
SUITE T3162
ANCHORAGE, AK
ZIP 99508
Phone: (907) 258-1258
Fax: (907) 258-1257

The provider's authorized official is Mario A Lanza .
The authorized official title is President and has the following contact phone number (907) 258-1258.

The CLIA number assigned to this NPI record is 02D1052312 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/31/2007 and was last updated on 2/26/2008.


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
1208D00000XGeneral Practice3905ALASKANo
2208D00000XGeneral Practice4503ALASKANo
3208D00000XGeneral Practice3753ALASKAYes

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
1161406OTHERALASKAMEDICARE PTAN
2160659MEDICARE ID-TYPE UNSPECIFIEDALASKAMARIO LANZA, MD
3161169OTHERALASKAPTAN
4MD37532MEDICAIDALASKA
5MD3385MEDICAIDALASKA
6G42622MEDICARE UPINALASKA
7K160658MEDICARE PINALASKA

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: 1/9/2022

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