Heritage Family Medicine Llc

LBN: Heritage Family Medicine Llc
Heritage Family Medicine Llc is an health care organization with primary practice located at 4961 E Mayflower Ln , Wasilla AK 99654-7708. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Heritage Family Medicine Llc can be contacted via phone (907) 376-5337, or through Sahlstrom, Christopher via phone (907) 982-5300.

Contact Information

Primary practice address
4961 E Mayflower Ln Wasilla AK 99654-7708
Phone: (907) 376-5337
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sahlstrom, Christopher Doctor of Medicine (MD)
Phone: (907) 982-5300

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 6506 Alaska

Profile Details

NPI number 1699004853
LBN Legal business name Heritage Family Medicine Llc
DBA Doing business as
Authorized official Sahlstrom, Christopher Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 17th, 2009
Last updated Mar 15th, 2021 - about 3 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 1699004853 NPPES
Alaska MEDICAID MD0506
Alaska MEDICAID MPG0164

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