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Contact Information

CHARLES K MOREY III
1825 N ROCKSIDE RD
WASILLA, AK99654-3131
 Phone: 907-414-0168
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Taxi

344600000X
Indicates primary specialty

NPI Profile & details for

NPI Number 1568097343
Entity Organization
Organization subpart 1 Not specified
Enumeration date 03/11/2020
Last updated 03/11/2020 - About 6 years ago
Identifiers
AK License # 2100910
AK Medicaid 180144
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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