Eagle Health Alaska
LBN: Eagle Health Alaska
Eagle Health Alaska is an health care organization with primary practice located at 2015 Merrill Field Dr , Anchorage AK 99501-4137. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty.
Eagle Health Alaska can be contacted via phone (907) 201-1102, or through Ninefeldt, Robin Lynn via phone (907) 201-1102.
Contact Information
Primary practice address
2015 Merrill Field Dr
Anchorage AK 99501-4137
Phone: (907) 201-1102
Fax:
Website:
Authorized official contact:
Name: Ninefeldt, Robin Lynn Doctor of Medicine (MD)
Phone: (907) 201-1102
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | ||
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X |
Profile Details
| NPI number | 1538772173 |
|---|---|
| LBN Legal business name | Eagle Health Alaska |
| DBA Doing business as | |
| Authorized official | Ninefeldt, Robin Lynn Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 24th, 2020 |
| Last updated | Aug 24th, 2020 - about 5 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538772173 | NPPES |
| Alaska | MEDICAID | 1652136 |
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