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HOLISTIC INTEGRATIVE MEDICINE LLC NPI 1629501408


NPI Information

NPI: 1629501408
Provider Name: HOLISTIC INTEGRATIVE MEDICINE LLC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

CLIA Number: 02D2130097

Address:
37060 CONNER RD
SOLDOTNA, AK
ZIP 99669
Phone: (855) 436-7723
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HOLISTIC INTEGRATIVE MEDICINE LLC is a health service clinic center in Soldotna, AK. HOLISTIC INTEGRATIVE MEDICINE LLC NPI is 1629501408. The provider is registered as an organization entity type.

The provider's business location address is:

37060 CONNER RD
SOLDOTNA, AK
ZIP 99669
Phone: (855) 436-7723

The provider's authorized official is George Spady .
The authorized official title is President and has the following contact phone number (855) 436-7723.

The CLIA number assigned to this NPI record is 02D2130097 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/7/2017 and was last updated on 4/7/2017.


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
1261QH0100XClinic/CenterHealth ServiceYes

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.