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Contact Information

ALPINE MEDICAL GROUP LLC
605 CHIEF THOMAS DR
FAIRBANKS, AK99709-4848
 Phone: 907-455-4555
 Fax: 833-941-2349
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ALPINE MEDICAL GROUP LLC

NPI Number 1114681608
LBN Legal business name ALPINE MEDICAL GROUP LLC
Authorized official HALEY EVENS - (AUTHORIZED OFFICIAL)
Entity Organization
Organization subpart 1 No
Enumeration date 10/29/2021
Last updated 09/04/2025 - About 9 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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