ALASKA CLINIC LLC; NPI #1497825897

Contact Information

ALASKA CLINIC LLC

3750 E COUNTRY FIELD CIR STE B
WASILLA, AK 99654-6659

Phone: 907-357-7240
Fax: 907-357-7241
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Multi-Specialty	261QM1300X	70	Clinic or Group Practice

Indicates primary specialty

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NPI Profile & details for ALASKA CLINIC LLC

NPI Number 1497825897

LBN Legal business name ALASKA CLINIC LLC

Authorized official ISMET KURSUNOGLU - (MEDICAL DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/09/2006

Last updated 08/22/2020 - About 6 years ago

Identifiers

License #

5410

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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