Kenai Spine
LBN: Grayling Medical Group Llc
Kenai Spine is an health care organization with primary practice located at 240 Hospital Place Suite 103, Soldotna AK 99669. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as the primary health care specialty.
Grayling Medical Group Llc can be contacted via phone (907) 260-5455, or through Erb, Nicole M via phone (907) 714-3117.
Contact Information
Primary practice address
240 Hospital Place Suite 103
Soldotna AK 99669
Phone: (907) 260-5455
Fax: (877) 200-7122
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | 6826 | Alaska |
Profile Details
| NPI number | 1497002968 |
|---|---|
| LBN Legal business name | Grayling Medical Group Llc |
| DBA Doing business as | Kenai Spine |
| Authorized official | Erb, Nicole M BSN,RN |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 14th, 2012 |
| Last updated | Nov 30th, 2021 - 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 | 1497002968 | NPPES |
| Alaska | MEDICAID | MD9678 | |
| Alaska | MEDICAID | 1580702 |
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