Odyssey Family Practice Llc
LBN: Odyssey Family Practice Llc
Odyssey Family Practice Llc is an health care organization with primary practice located at 11595 Kenai Spur Highway , Kenai AK 99611. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Occupational Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Odyssey Family Practice Llc can be contacted via phone (907) 313-4569, or through Wallace, Jared Lee via phone (907) 313-4569.
Contact Information
Primary practice address
11595 Kenai Spur Highway
Kenai AK 99611
Phone: (907) 313-4569
Fax: (907) 313-4939
Website:
Authorized official contact:
Name: Wallace, Jared Lee Physician's Assistant Certified (PA-C)
Phone: (907) 313-4569
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Ambulatory Health Care Facilities / Occupational Medicine | 261QX0100X |
Profile Details
| NPI number | 1780142042 |
|---|---|
| LBN Legal business name | Odyssey Family Practice Llc |
| DBA Doing business as | |
| Authorized official | Wallace, Jared Lee Physician's Assistant Certified (PA-C) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 6th, 2019 |
| Last updated | Feb 5th, 2020 - about 5 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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