M. Jane Moore, Md. Llc.

LBN: M. Jane Moore, Md. Llc.
M. Jane Moore, Md. Llc. is an health care organization with primary practice located at 3260 Providence Dr Ste 526 , Anchorage AK 99508-4608. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. M. Jane Moore, Md. Llc. can be contacted via phone (907) 569-3600, or through Carroll, Jill M via phone (907) 569-3600.

Contact Information

Primary practice address
3260 Providence Dr Ste 526 Anchorage AK 99508-4608
Phone: (907) 569-3600
Fax: (907) 569-3200
Website:
Map and Directions
Authorized official contact:
Name: Carroll, Jill M
Phone: (907) 569-3600

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 952570 Alaska

Profile Details

NPI number 1609173798
LBN Legal business name M. Jane Moore, Md. Llc.
DBA Doing business as
Authorized official Carroll, Jill M
Entity Organization
Organization subpart 1 No
Enumeration date Feb 25th, 2011
Last updated Feb 25th, 2011 - 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 1609173798 NPPES
Alaska MEDICAID MD8920

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