Medical Park Family Care, Inc

LBN: Medical Park Family Care, Inc
Medical Park Family Care, Inc is an health care organization with primary practice located at 2211 E Northern Lights Blvd , Anchorage AK 99508-4103. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Medical Park Family Care, Inc can be contacted via phone (907) 257-8486, or through Fong, Joseph via phone (907) 257-8121.

Contact Information

Primary practice address
2211 E Northern Lights Blvd Anchorage AK 99508-4103
Phone: (907) 257-8486
Fax: (907) 677-5614
Website:
Map and Directions
Authorized official contact:
Name: Fong, Joseph
Phone: (907) 257-8121

Health care specialties

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

Profile Details

NPI number 1144392317
LBN Legal business name Medical Park Family Care, Inc
DBA Doing business as
Authorized official Fong, Joseph
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2006
Last updated Aug 20th, 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 1144392317 NPPES
Alaska Other 02D0864632 CLIA
Alaska Other KOOOOWCHKZ CLIA
Alaska MEDICAID 1004348 CLIA

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