Full Spectrum Pediatrics, Pc

LBN: Full Spectrum Pediatrics, Pc
Full Spectrum Pediatrics, Pc is an health care organization with primary practice located at 2841 Debarr Rd Bldg A, Suite 23, Anchorage AK 99508-2958. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Full Spectrum Pediatrics, Pc can be contacted via phone (907) 677-1864, or through Baker, Stephen Scott via phone (907) 677-1864.

Contact Information

Primary practice address
2841 Debarr Rd Bldg A, Suite 23 Anchorage AK 99508-2958
Phone: (907) 677-1864
Fax: (907) 868-5167
Website:
Map and Directions
Authorized official contact:
Name: Baker, Stephen Scott Doctor of Medicine (MD)
Phone: (907) 677-1864

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 4587 Alaska

Profile Details

NPI number 1639463953
LBN Legal business name Full Spectrum Pediatrics, Pc
DBA Doing business as
Authorized official Baker, Stephen Scott Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 3rd, 2011
Last updated Jun 3rd, 2011 - about 15 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 1639463953 NPPES
Alaska MEDICAID 3255

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