Independence Healthcare Pc
LBN: Independence Healthcare Pc
Independence Healthcare Pc is an health care organization with primary practice located at 289 N Fireweed St Ste D , Soldotna AK 99669-7570. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty.
Independence Healthcare Pc can be contacted via phone (907) 262-6454, or through Krull, Henry G via phone (907) 262-6454.
Contact Information
Primary practice address
289 N Fireweed St Ste D
Soldotna AK 99669-7570
Phone: (907) 262-6454
Fax: (907) 262-0832
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Medical Specialty | 261QM2500X | 264120 | Alaska |
Profile Details
NPI number | 1891790184 |
---|---|
LBN Legal business name | Independence Healthcare Pc |
DBA Doing business as | |
Authorized official | Krull, Henry G Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jun 14th, 2005 |
Last updated | Mar 14th, 2024 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1891790184 | NPPES |
Alaska | Other | 4127920001 | DMERC SUPPLIER NO. |
Alaska | Other | 264120 | DMERC SUPPLIER NO. |
Alaska | MEDICAID | MDG 575 | DMERC SUPPLIER NO. |
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