Providence Anchorage Anesthesia Medical Group, P.C.

LBN: Providence Anchorage Anesthesia Medical Group, P.C.
Providence Anchorage Anesthesia Medical Group, P.C. is an health care organization with primary practice located at 3300 Providence Dr Suite 207, Anchorage AK 99508-4616. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as the primary health care specialty. Providence Anchorage Anesthesia Medical Group, P.C. can be contacted via phone (907) 561-0005, or through Brooks, James via phone (907) 561-0005.

Contact Information

Primary practice address
3300 Providence Dr Suite 207 Anchorage AK 99508-4616
Phone: (907) 561-0005
Fax: (907) 563-9140
Website:
Map and Directions
Authorized official contact:
Name: Brooks, James CHE
Phone: (907) 561-0005

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X

Profile Details

NPI number 1659368397
LBN Legal business name Providence Anchorage Anesthesia Medical Group, P.C.
DBA Doing business as
Authorized official Brooks, James CHE
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2005
Last updated Aug 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659368397 NPPES
Alaska MEDICAID MDG394
Alaska MEDICAID MDG395

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