Independence Healthcare Pc

LBN: Independence Healthcare Pc
Independence Healthcare Pc is an health care organization with primary practice located at 289 N Fireweed St Ste D , Soldotna AK 99669-7570. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Independence Healthcare Pc can be contacted via phone (907) 262-6454, or through Krull, Henry G via phone (907) 262-6454.

Contact Information

Primary practice address
289 N Fireweed St Ste D Soldotna AK 99669-7570
Phone: (907) 262-6454
Fax: (907) 262-0832
Website:
Map and Directions
Authorized official contact:
Name: Krull, Henry G Doctor of Medicine (MD)
Phone: (907) 262-6454

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X 264120 Alaska

Profile Details

NPI number 1891790184
LBN Legal business name Independence Healthcare Pc
DBA Doing business as
Authorized official Krull, Henry G Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2005
Last updated Mar 14th, 2024 - about 2 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 1891790184 NPPES
Alaska Other 4127920001 DMERC SUPPLIER NO.
Alaska Other 264120 DMERC SUPPLIER NO.
Alaska MEDICAID MDG 575 DMERC SUPPLIER NO.

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