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SUMMIT FAMILY PRACTICE LLC NPI 1457747800


NPI Information

NPI: 1457747800
Provider Name: SUMMIT FAMILY PRACTICE, LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
2741 DEBARR RD
SUITE C-308
ANCHORAGE, AK
ZIP 99508
Phone: (907) 272-3366
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SUMMIT FAMILY PRACTICE, LLC is a primary care clinic center in Anchorage, AK. SUMMIT FAMILY PRACTICE, LLC NPI is 1457747800. The provider is registered as an organization entity type.

The provider's business location address is:

2741 DEBARR RD
SUITE C-308
ANCHORAGE, AK
ZIP 99508-961
Phone: (907) 272-3366
Fax: (907) 646-3731

The provider's authorized official is S Lynn Hornbein .
The authorized official title is Owner and has the following contact phone number (907) 272-3366.

The enumeration date for this NPI number is 4/13/2015 and was last updated on 4/13/2015.


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
1261QP2300XClinic/CenterPrimary Care2515ALASKAYes

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
1K150640MEDICARE PINALASKA
2K162212MEDICARE PIN
3K150639MEDICARE PINALASKA
4K166046MEDICARE PIN
5S54283MEDICARE PIN
6K165447MEDICARE PIN
7K165867MEDICARE PIN

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.