South Central Family Practice Clinic Pc

LBN: South Central Family Practice Clinic Pc
South Central Family Practice Clinic Pc is an health care organization with primary practice located at 161 N Binkley St Suite 101, Soldotna AK 99669. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. South Central Family Practice Clinic Pc can be contacted via phone (907) 260-7784, or through Bailon, Gladys J via phone (907) 260-7784.

Contact Information

Primary practice address
161 N Binkley St Suite 101 Soldotna AK 99669
Phone: (907) 260-7784
Fax: (907) 260-7738
Website:
Map and Directions
Authorized official contact:
Name: Bailon, Gladys J Doctor of Medicine (MD)
Phone: (907) 260-7784

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 901044 Alaska

Profile Details

NPI number 1003967753
LBN Legal business name South Central Family Practice Clinic Pc
DBA Doing business as
Authorized official Bailon, Gladys J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2007
Last updated May 18th, 2018 - about 6 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 1003967753 NPPES
Alaska Other 610985200 OWCP FEDERAL WORKERS COMP
Alaska Other 610985200 OWCP FEDERAL WORKERS COMP
Alaska Other GJ520 OWCP FEDERAL WORKERS COMP

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