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RAINBOW MEDICAL CLINIC NPI 1861637555


NPI Information

NPI: 1861637555
Provider Name: RAINBOW MEDICAL CLINIC

Other Name: STEPHEN SHORTRIDGE

Classification: Physician Assistant - 363A00000X
Entity Type: Organization
Address:
10927 WEST PARKS HWY.
BIG LAKE, AK
ZIP 99652
Phone: (907) 892-3350
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RAINBOW MEDICAL CLINIC is a physician assistant in Big Lake, AK. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. RAINBOW MEDICAL CLINIC NPI is 1861637555. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Stephen Shortridge.

The provider's business location address is:

10927 WEST PARKS HWY.
BIG LAKE, AK
ZIP 99652-562
Phone: (907) 892-3350
Fax: (907) 892-3351

The provider's authorized official is Stephen Matthew Shortrige .
The authorized official title is Owner and has the following contact phone number (907) 892-3350.

The enumeration date for this NPI number is 12/9/2008 and was last updated on 7/23/2009.


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
1363A00000XPhysician Assistant394ALASKAYes

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
11700994118OTHERNPI
2S31230MEDICARE UPIN

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: 4/28/2024

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