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Contact Information

ALLIED CLINIC & WOUNDS LLC
1577 C ST STE 878616
ANCHORAGE, AK99501-5127
 Phone: 702-983-6674
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ALLIED CLINIC & WOUNDS LLC

NPI Number 1720807563
LBN Legal business name ALLIED CLINIC & WOUNDS LLC
Authorized official STANLEY KIDAVAYI - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/08/2024
Last updated 10/08/2024 - 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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