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 3331 E Meridian Park Loop , Wasilla AK 99654-7294. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Medical Network Of Alaska, Llc can be contacted via phone (907) 864-4625, or through Blomker, Jacquelyn Renee via phone (907) 864-4625.

Contact Information

Primary practice address
3331 E Meridian Park Loop Wasilla AK 99654-7294
Phone: (907) 864-4625
Fax: (907) 313-1540
Website:
Map and Directions
Authorized official contact:
Name: Blomker, Jacquelyn Renee
Phone: (907) 864-4625

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1497478598
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 Sep 22nd, 2022
Last updated Jan 30th, 2024 - about 10 months 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 1497478598 NPPES
Alaska Other 2103226 STATE OF ALASKA BUSINESS LICENSE

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