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Contact Information

CARR-GOTTSTEIN FOODS CO
301 N SANTA CLAUS LN
NORTH POLE, AK99705-6081
 Phone: 907-490-2760
 Fax: 907-490-2719
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for CARR-GOTTSTEIN FOODS CO

NPI # 1194754135
LBN Legal business name CARR-GOTTSTEIN FOODS CO
Authorized official KATHY GIANNAKOPOULOS - (ENROLLMENTS MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/02/2006
Last updated 03/04/2020 - About 6 years ago
Identifiers
AK License # 377
AK Medicaid 1028565
AK Medicaid 1603171
Other 1996884 PK
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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