Full Spectrum Health, Llc

LBN: Full Spectrum Health, Llc
Full Spectrum Health, Llc is an health care organization with primary practice located at 307 E Northern Lights Blvd Ste 201 , Anchorage AK 99503-2701. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Full Spectrum Health, Llc can be contacted via phone (907) 229-9766, or through Wiese, Tracey via phone (907) 727-4239.

Contact Information

Primary practice address
307 E Northern Lights Blvd Ste 201 Anchorage AK 99503-2701
Phone: (907) 229-9766
Fax: (888) 974-0807
Website:
Map and Directions
Authorized official contact:
Name: Wiese, Tracey Adult Nurse Practitioner (ANP)
Phone: (907) 727-4239

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1407360977
LBN Legal business name Full Spectrum Health, Llc
DBA Doing business as
Authorized official Wiese, Tracey Adult Nurse Practitioner (ANP)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 20th, 2017
Last updated Nov 20th, 2017 - about 9 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 1407360977 NPPES
Alaska MEDICAID 1022312

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