FAMILY DIABETES CLINIC; NPI #1801174586

Contact Information

FAMILY DIABETES CLINIC

1407 W 31ST AVE
STE. 600
ANCHORAGE, AK 99503-3678

Phone: 907-677-3750
Fax: 907-677-3751
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Family Health	364SF0001X	89	Certified Clinical Nurse Specialist

Indicates primary specialty

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NPI Profile & details for FAMILY DIABETES CLINIC

NPI Number 1801174586

LBN Legal business name FAMILY DIABETES CLINIC

Authorized official TRACY MICHALSKI - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/28/2011

Last updated 11/18/2011 - About 15 years ago

Identifiers

AK	License #	688
AK	Medicaid	MPG0391

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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FAMILY DIABETES CLINIC

Contact Information

Specialty

Family Health

NPI Profile & details for FAMILY DIABETES CLINIC

Reviews for FAMILY DIABETES CLINIC