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Contact Information

PROVIDENCE ANCHORAGE ANESTHESIA MEDICAL GROUP, P.C.
3300 PROVIDENCE DR
SUITE 207
ANCHORAGE, AK99508-4616
 Phone: 907-561-0005
 Fax: 907-563-9140
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for PROVIDENCE ANCHORAGE ANESTHESIA MEDICAL GROUP, P.C.

NPI # 1659368397
LBN Legal business name PROVIDENCE ANCHORAGE ANESTHESIA MEDICAL GROUP, P.C.
Authorized official JAMES BROOKS - (CHIEF HEALTH EXECUTIVE)
Entity Organization
Organization subpart 1 No
Enumeration date 09/27/2005
Last updated 08/22/2020 - About 6 years ago
Identifiers
AK Medicaid MDG394
AK Medicaid MDG395
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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