MEADOW CREEK HEALTHCARE LLC; NPI #1376835355

Contact Information

MEADOW CREEK HEALTHCARE LLC

16839 PARK PLACE ST
SAME
EAGLE RIVER, AK 99577-7819

Phone: 907-694-3303
Fax: 907-694-4773
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Medical	363AM0700X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for MEADOW CREEK HEALTHCARE LLC

NPI # 1376835355

LBN Legal business name MEADOW CREEK HEALTHCARE LLC

Authorized official THOMAS FENGER - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/09/2011

Last updated 05/09/2011 - About 15 years ago

Identifiers

AK	License #	423
AK	Medicaid	MPG0123

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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MEADOW CREEK HEALTHCARE LLC

Contact Information

Specialty

Medical

NPI Profile & details for MEADOW CREEK HEALTHCARE LLC

Reviews for MEADOW CREEK HEALTHCARE LLC