Susitna Mediset Services
LBN: Susitna Mediset Services Inc
Susitna Mediset Services is an health care organization with primary practice located at 1751 E Gardner Way Ste F, Wasilla AK 99654-6564. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty.
Susitna Mediset Services Inc can be contacted via phone (907) 352-4306, or through Mundell, Mary via phone (907) 373-7933.
Contact Information
Primary practice address
1751 E Gardner Way Ste F
Wasilla AK 99654-6564
Phone: (907) 352-4306
Fax: (907) 357-7590
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X | 438 | Alaska |
Profile Details
| NPI number | 1548455967 |
|---|---|
| LBN Legal business name | Susitna Mediset Services Inc |
| DBA Doing business as | Susitna Mediset Services |
| Authorized official | Mundell, Mary RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 10th, 2007 |
| Last updated | Mar 7th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548455967 | NPPES |
| Alaska | MEDICAID | PH0267 | |
| Alaska | Other | 0227810 |
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