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VACCA PHYSIATRY LLC NPI 1528456696


NPI Information

NPI: 1528456696
Provider Name: VACCA PHYSIATRY LLC
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
10928 EAGLE RIVER RD
SUITE 104
EAGLE RIVER, AK
ZIP 99577
Phone: (907) 622-1300
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VACCA PHYSIATRY LLC is a medical specialty clinic center in Eagle River, AK. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). VACCA PHYSIATRY LLC NPI is 1528456696. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10928 EAGLE RIVER RD
SUITE 104
EAGLE RIVER, AK
ZIP 99577-078
Phone: (907) 622-1300

The provider's authorized official is Brian D Vacca .
The authorized official title is Owner/sole Provider and has the following contact phone number (907) 622-1300.

The enumeration date for this NPI number is 12/24/2014 and was last updated on 6/7/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208100000XPhysical Medicine & Rehabilitation51455MINNESOTANo
2261QM2500XClinic/CenterMedical Specialty103783ALASKAYes

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.