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:
Map and Directions
Authorized official contact:
Name: Mundell, Mary RPH
Phone: (907) 373-7933

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548455967 NPPES
Alaska MEDICAID PH0267
Alaska Other 0227810

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