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Contact Information

GIRDWOOD CLINIC, INC.
LOT 17 BLOCK 1
NEW GIRDWOOD TOWN SITE
GIRDWOOD, AK99587
 Phone: 907-783-1355
 Fax: 907-783-1357
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for GIRDWOOD CLINIC, INC.

NPI # 1083657712
LBN Legal business name GIRDWOOD CLINIC, INC.
Authorized official KERRY DORIUS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/13/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
AK Medicaid MS5623
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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