Capstone Family Medicine
LBN: Medical Network Of Alaska, Llc
Capstone Family Medicine 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 Other Service Providers / Specialist, 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) 864-4625.
Contact Information
Primary practice address
3122 E Meridian Park Loop
Wasilla AK 99654-7255
Phone: (907) 357-9590
Fax: (907) 357-9593
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 4593 | Alaska |
Profile Details
| NPI number | 1508089046 |
|---|---|
| LBN Legal business name | Medical Network Of Alaska, Llc |
| DBA Doing business as | Capstone Family Medicine |
| Authorized official | Blomker, Jacquelyn Renee |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Apr 11th, 2007 |
| Last updated | Nov 2nd, 2020 - about 4 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 | 1508089046 | NPPES |
| Alaska | MEDICAID | 1651007 | |
| Alaska | MEDICAID | MG0651 |
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