Medical Network Of Alaska, Llc

LBN: Medical Network Of Alaska, Llc
Medical Network Of Alaska, Llc is an health care organization with primary practice located at 3122 E Meridian Park Loop , Wasilla AK 99654-7255. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Medical Network Of Alaska, Llc can be contacted via phone (907) 357-9590, or through Blomker, Jacquelyn Renee via phone (907) 357-9590.

Contact Information

Primary practice address
3122 E Meridian Park Loop Wasilla AK 99654-7255
Phone: (907) 357-9590
Fax: (907) 357-9593
Website:
Map and Directions
Authorized official contact:
Name: Blomker, Jacquelyn Renee
Phone: (907) 357-9590

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1033883285
LBN Legal business name Medical Network Of Alaska, Llc
DBA Doing business as
Authorized official Blomker, Jacquelyn Renee
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 2nd, 2021
Last updated Aug 2nd, 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 1033883285 NPPES
Alaska Other 2137140 STATE OF ALASKA BUSINESS LICENSE

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