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VITAE INTEGRATIVE MEDICAL CENTER NPI 1760852388


NPI Information

NPI: 1760852388
Provider Name: VITAE INTEGRATIVE MEDICAL CENTER
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 02D2102681

Address:
2925 DEBARR RD
SUITE 150
ANCHORAGE, AK
ZIP 99508
Phone: (907) 441-5568
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VITAE INTEGRATIVE MEDICAL CENTER is a clinic center in Anchorage, AK. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). VITAE INTEGRATIVE MEDICAL CENTER NPI is 1760852388. The provider is registered as an organization entity type.

The provider's business location address is:

2925 DEBARR RD
SUITE 150
ANCHORAGE, AK
ZIP 99508-959
Phone: (907) 441-5568

The provider's authorized official is Christine Knobel Sagan .
The authorized official title is Nurse Practitioner, Owner and has the following contact phone number (907) 441-5568.

The CLIA number assigned to this NPI record is 02D2102681 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/26/2015 and was last updated on 9/26/2015.


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
1261Q00000XClinic/Center986ALASKAYes

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.