HEALTH WORKS FAMILY MEDICAL CLINIC INC NPI 1679772735

NPI Information

NPI: 1679772735
Provider Name: HEALTH WORKS FAMILY MEDICAL CLINIC INC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
12812 OLD GLENN HWY STE A7
EAGLE RIVER, AK
ZIP 99577
Phone: (907) 622-9675
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HEALTH WORKS FAMILY MEDICAL CLINIC INC is a family nurse practitioner in Eagle River, AK. HEALTH WORKS FAMILY MEDICAL CLINIC INC NPI is 1679772735. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12812 OLD GLENN HWY STE A7
EAGLE RIVER, AK
ZIP 99577-003
Phone: (907) 622-9675

The provider's authorized official is Mary Ann Egbert .
The authorized official title is Owner and has the following contact phone number (907) 622-9675.

The enumeration date for this NPI number is 7/17/2007 and was last updated on 4/21/2011.

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	363LF0000X	Nurse Practitioner	Family			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	MPG0003	MEDICAID	ALASKA
2	K153064	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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