Algone International Pain Clinic
LBN: Medical Group Of Alaska
Algone International Pain Clinic is an health care organization with primary practice located at 3190 E Merdian Park Loop Suite 207, Wasilla AK 99654. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Suppliers / Durable Medical Equipment & Medical Supplies. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty.
Medical Group Of Alaska can be contacted via phone (907) 373-9460, or through Henry-Musa, Christine via phone (907) 357-7710.
Contact Information
Primary practice address
3190 E Merdian Park Loop Suite 207
Wasilla AK 99654
Phone: (907) 373-9460
Fax: (907) 373-9461
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 949810 | Alaska |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 1070929 | Alaska |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 1070929 | Alaska |
Profile Details
| NPI number | 1174882971 |
|---|---|
| LBN Legal business name | Medical Group Of Alaska |
| DBA Doing business as | Algone International Pain Clinic |
| Authorized official | Henry-Musa, Christine |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | May 14th, 2012 |
| Last updated | May 24th, 2022 - about 2 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 | 1174882971 | NPPES |
| Alaska | MEDICAID | 1658871 |
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