Glacier Pediatrics, Llc

LBN: Glacier Pediatrics, Llc
Glacier Pediatrics, Llc is an health care organization with primary practice located at 1600 Glacier Ave , Juneau AK 99801-1430. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Glacier Pediatrics, Llc can be contacted via phone (907) 586-1542, or through Arovold, Maryellen via phone (907) 586-1542.

Contact Information

Primary practice address
1600 Glacier Ave Juneau AK 99801-1430
Phone: (907) 586-1542
Fax: (907) 586-1849
Website:
Map and Directions
Authorized official contact:
Name: Arovold, Maryellen
Phone: (907) 586-1542

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 17 Alaska

Profile Details

NPI number 1558500694
LBN Legal business name Glacier Pediatrics, Llc
DBA Doing business as
Authorized official Arovold, Maryellen
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2009
Last updated Feb 12th, 2009 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558500694 NPPES
Alaska MEDICAID MD3544
Alaska MEDICAID MD14482
Alaska MEDICAID NP1539
Alaska MEDICAID MD52881

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