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KIDNEY AND HYPERTENSION CLINIC OF ALASKA LLC NPI 1932282381


NPI Information

NPI: 1932282381
Provider Name: KIDNEY AND HYPERTENSION CLINIC OF ALASKA, LLC

Other Name: KIDNEY AND HYPERTENSION CLINIC OF ALASKA

Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

CLIA Number: 02D1062435

Address:
4015 LAKE OTIS PARKWAY
SUITE 101
ANCHORAGE, AK
ZIP 99508
Phone: (907) 375-5200
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KIDNEY AND HYPERTENSION CLINIC OF ALASKA, LLC is a nephrology internal medicine in Anchorage, AK. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. KIDNEY AND HYPERTENSION CLINIC OF ALASKA, LLC NPI is 1932282381. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Kidney And Hypertension Clinic Of Alaska.

The provider's business location address is:

4015 LAKE OTIS PARKWAY
SUITE 101
ANCHORAGE, AK
ZIP 99508
Phone: (907) 375-5200
Fax: (907) 375-5203

The provider's authorized official is Laura Martin .
The authorized official title is Billing and has the following contact phone number (907) 375-5200.

The CLIA number assigned to this NPI record is 02D1062435 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/21/2006 and was last updated on 9/21/2018.


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
1207RN0300XInternal MedicineNephrology5028ALASKAYes

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
11020478MEDICAIDALASKA

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

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