Wasilla Medical Clinic

LBN: Alaska Medical Clinics, Llc
Wasilla Medical Clinic is an health care organization with primary practice located at 1700 E Parks Hwy #200, Wasilla AK 99654-7352. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Alaska Medical Clinics, Llc can be contacted via phone (907) 373-6055, or through Maclean, Deborah Louise via phone (907) 341-7714.

Contact Information

Primary practice address
1700 E Parks Hwy #200 Wasilla AK 99654-7352
Phone: (907) 373-6055
Fax: (907) 373-6077
Website:
Map and Directions
Authorized official contact:
Name: Maclean, Deborah Louise
Phone: (907) 341-7714

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1316015480
LBN Legal business name Alaska Medical Clinics, Llc
DBA Doing business as Wasilla Medical Clinic
Authorized official Maclean, Deborah Louise
Entity Organization
Organization subpart 1 No
Enumeration date Nov 30th, 2006
Last updated Apr 23rd, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316015480 NPPES
Alaska MEDICAID MDG016
Alaska MEDICAID MDG017

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