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Contact Information

FIREWEED SURGICAL ASSISTS LLC
2500 S WOODWORTH LOOP
PALMER, AK99645-8984
 Phone: 508-579-2174
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for FIREWEED SURGICAL ASSISTS LLC

NPI # 1043722929
LBN Legal business name FIREWEED SURGICAL ASSISTS LLC
Authorized official SARAH JOHANSON - (ACUTE CARE NURSE PRACTITIONER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/31/2017
Last updated 08/07/2024 - More than a year 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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