MEDICAL NETWORK OF ALASKA LLC NPI 1831763911

NPI Information

NPI: 1831763911
Provider Name: MEDICAL NETWORK OF ALASKA, LLC
Classification: Internal Medicine - 207RE0101X
Specialization: Endocrinology, Diabetes & Metabolism
Entity Type: Organization
Doing Business As: CAPSTONE DIABETES AND ENDOCRINOLOGY CENTER
CLIA Number: 02D2280397
Address: 3331 E MERIDIAN PARK LOOP
WASILLA, AK
ZIP 99654
Phone: (907) 357-9590

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NPI Details

MEDICAL NETWORK OF ALASKA, LLC is an endocrinology and diabetes and metabolism internal medicine in Wasilla, AK. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. MEDICAL NETWORK OF ALASKA, LLC NPI is 1831763911. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Capstone Diabetes And Endocrinology Center.

The provider's business location address is:

3331 E MERIDIAN PARK LOOP
WASILLA, AK
ZIP 99654-294
Phone: (907) 357-9590

The provider's authorized official is Jacquelyn Renee Blomker .
The authorized official title is Director Of Revenue Cycle and has the following contact phone number (907) 357-9590.

The CLIA number assigned to this NPI record is 02D2280397 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/13/2021 and was last updated on 8/2/2021.

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	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism			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	2131798	OTHER	ALASKA	STATE OF ALASKA BUSINESS LICENSE

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: 3/30/2025

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