Capstone Family Medicine

LBN: Medical Network Of Alaska, Llc
Capstone Family Medicine is an health care organization with primary practice located at 3122 E Meridian Park Loop , Wasilla AK 99654-7255. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Medical Network Of Alaska, Llc can be contacted via phone (907) 357-9590, or through Blomker, Jacquelyn Renee via phone (907) 864-4625.

Contact Information

Primary practice address
3122 E Meridian Park Loop Wasilla AK 99654-7255
Phone: (907) 357-9590
Fax: (907) 357-9593
Website:
Map and Directions
Authorized official contact:
Name: Blomker, Jacquelyn Renee
Phone: (907) 864-4625

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 4593 Alaska

Profile Details

NPI number 1508089046
LBN Legal business name Medical Network Of Alaska, Llc
DBA Doing business as Capstone Family Medicine
Authorized official Blomker, Jacquelyn Renee
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 11th, 2007
Last updated Nov 2nd, 2020 - about 6 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 1508089046 NPPES
Alaska MEDICAID 1651007
Alaska MEDICAID MG0651

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