Hpg - Physician Home Visit

LBN: Southcentral Foundation
Hpg - Physician Home Visit is an health care organization with primary practice located at 4501 Diplomacy Dr , Anchorage AK 99508-5919. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Southcentral Foundation can be contacted via phone (907) 729-4955, or through Olson, Ronald Lee via phone (907) 729-4939.

Contact Information

Primary practice address
4501 Diplomacy Dr Anchorage AK 99508-5919
Phone: (907) 729-4955
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Olson, Ronald Lee
Phone: (907) 729-4939

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 20467 Alaska

Profile Details

NPI number 1710293006
LBN Legal business name Southcentral Foundation
DBA Doing business as Hpg - Physician Home Visit
Authorized official Olson, Ronald Lee
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 24th, 2010
Last updated Sep 14th, 2023 - about 2 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 1710293006 NPPES
Alaska MEDICAID 1701244

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