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Contact Information

SOURCE PELVIC HEALTH
6691 SHANGRI LA CIR
ANCHORAGE, AK99516-5070
 Phone: 817-808-9550
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

261QR0400X B4[14] Rehabilitation Agency
Indicates primary specialty

NPI Profile & details for SOURCE PELVIC HEALTH

NPI # 1831068279
LBN Legal business name SOURCE PELVIC HEALTH
Authorized official ALEXANDRA DONALDSON - (OCCUPATIONAL THERAPIST)
Entity Organization
Organization subpart 1 No
Enumeration date 11/03/2025
Last updated 11/03/2025 - About 7 months ago
Identifiers n/a
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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