Cottonwood Creek Clinic Llc

LBN: Cottonwood Creek Clinic Llc
Cottonwood Creek Clinic Llc is an health care organization with primary practice located at 3600 E Wickersham Way , Wasilla AK 99654-7550. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Cottonwood Creek Clinic Llc can be contacted via phone (907) 373-5950, or through Blake, Richard via phone (907) 373-5950.

Contact Information

Primary practice address
3600 E Wickersham Way Wasilla AK 99654-7550
Phone: (907) 373-5950
Fax: (907) 373-5954
Website:
Map and Directions
Authorized official contact:
Name: Blake, Richard
Phone: (907) 373-5950

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 1011473 Alaska

Profile Details

NPI number 1134523855
LBN Legal business name Cottonwood Creek Clinic Llc
DBA Doing business as
Authorized official Blake, Richard
Entity Organization
Organization subpart 1 No
Enumeration date Oct 9th, 2014
Last updated Mar 7th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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