Provider Type Icon

ACUTE FAMILY MEDICINE CLINIC INC NPI 1679704688


NPI Information

NPI: 1679704688
Provider Name: ACUTE FAMILY MEDICINE CLINIC INC

Other Name: ALASKA HEALTHCARE ASSOCIATES

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
11470 BUSINESS BLVD
STE 100
EAGLE RIVER, AK
ZIP 99577
Phone: (907) 622-4325
Get Directions

ACUTE FAMILY MEDICINE CLINIC INC is a family medicine in Eagle River, AK. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ACUTE FAMILY MEDICINE CLINIC INC NPI is 1679704688. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Alaska Healthcare Associates.

The provider's business location address is:

11470 BUSINESS BLVD
STE 100
EAGLE RIVER, AK
ZIP 99577-780
Phone: (907) 622-4325
Fax: (907) 622-4326

The provider's authorized official is Daniel J Coverdell .
The authorized official title is President and has the following contact phone number (907) 622-4325.

The enumeration date for this NPI number is 8/7/2009 and was last updated on 8/7/2009.


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
1363LF0000XNurse PractitionerFamily584ALASKANo
2363LF0000XNurse PractitionerFamily296ALASKANo
3363LF0000XNurse PractitionerFamily904ALASKANo
4207Q00000XFamily Medicine5172ALASKANo
5207Q00000XFamily Medicine44822ALASKANo
6363A00000XPhysician Assistant367ALASKANo
7363A00000XPhysician Assistant2013ALASKANo
8363A00000XPhysician Assistant739ALASKANo
9207Q00000XFamily Medicine4780ALASKAYes

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
1NPO904MEDICAIDALASKA
2NPO2962MEDICAIDALASKA
3MD6321MEDICAIDALASKA
444822MEDICAIDALASKA
5MD5172MEDICAIDALASKA

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.