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Contact Information

MOORE CLINIC INC
209 MOLLER DRIVE
SITKA, AK99835
 Phone: 907-747-2616
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MOORE CLINIC INC

NPI # 1164647723
LBN Legal business name MOORE CLINIC INC
Authorized official JOHN TOTTEN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/17/2007
Last updated 12/21/2007 - About 18 years ago
Identifiers
AK License # 227080
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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