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MEDICAL NETWORK OF ALASKA LLC NPI 1538414834


NPI Profile

NPI: 1538414834
Provider Name: MEDICAL NETWORK OF ALASKA, LLC

Doing Business As: CAPSTONE URGENT CARE

Classification:Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 02D2092701

Address:
3066 E MERIDIAN PARK LOOP
SUITE 2
WASILLA, AK
ZIP 99654
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Phone: (907) 357-9560

MEDICAL NETWORK OF ALASKA, LLC is an urgent care clinic center in Wasilla, AK. MEDICAL NETWORK OF ALASKA, LLC NPI is 1538414834. The provider is registered as an organization entity type.
The provider Is Doing Business As Capstone Urgent Care.

The provider's business location address is:

3066 E MERIDIAN PARK LOOP
SUITE 2
WASILLA, AK
ZIP 99654
Phone: (907) 357-9560
Fax: (907) 357-9593

The provider's authorized official is Jacquelyn Renee Blomker .
The authorized official title is Rcm and has the following contact phone number (907) 864-4625.

The CLIA number assigned to this NPI record is 02D2092701 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/23/2012 and was last updated on 11/2/2020.


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
1261QU0200XClinic/CenterUrgent Care976106ALASKAYes

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
11654525MEDICAIDALASKA

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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