ANCHORAGE HOUSECALL MEDICINE LLC NPI 1497118574

NPI Information

NPI: 1497118574
Provider Name: ANCHORAGE HOUSECALL MEDICINE LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1444 S CREEK RD
EAGLE RIVER, AK
ZIP 99577
Phone: (907) 622-4663
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ANCHORAGE HOUSECALL MEDICINE LLC is a primary care clinic center in Eagle River, AK. ANCHORAGE HOUSECALL MEDICINE LLC NPI is 1497118574. The provider is registered as an organization entity type.

The provider's business location address is:

1444 S CREEK RD
EAGLE RIVER, AK
ZIP 99577-461
Phone: (907) 622-4663
Fax: (907) 622-4643

The provider's authorized official is John Andrew Winczura .
The authorized official title is Owner/provider and has the following contact phone number (907) 622-4663.

The enumeration date for this NPI number is 4/5/2016 and was last updated on 4/5/2016.

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
1	261QP2300X	Clinic/Center	Primary Care	1032371	ALASKA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	MDA0160	MEDICAID	ALASKA
2	K161600	MEDICARE PIN	ALASKA

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

NPI Synchronization or Removal

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