Urgent Care At Lake Lucille Inc
LBN: Urgent Care At Lake Lucille Inc
Urgent Care At Lake Lucille Inc is an health care organization with primary practice located at 185 E Parks Hwy , Wasilla AK 99654-7038. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Urgent Care. Ambulatory Health Care Facilities / Urgent Care is the primary health care specialty.
Urgent Care At Lake Lucille Inc can be contacted via phone (907) 373-4203, or through Varosi, Ellen R via phone (907) 373-4200.
Contact Information
Primary practice address
185 E Parks Hwy
Wasilla AK 99654-7038
Phone: (907) 373-4203
Fax: (907) 373-4201
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 3064 | Alaska |
| Ambulatory Health Care Facilities / Urgent Care | 261QU0200X | 157496 | Alaska |
| Ambulatory Health Care Facilities / Urgent Care | 261QU0200X | 3064 | Alaska |
Profile Details
| NPI number | 1275587768 |
|---|---|
| LBN Legal business name | Urgent Care At Lake Lucille Inc |
| DBA Doing business as | |
| Authorized official | Varosi, Ellen R |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 20th, 2006 |
| Last updated | May 4th, 2010 - about 14 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 | 1275587768 | NPPES |
| Alaska | MEDICAID | MDG043 | |
| Alaska | MEDICAID | MDG496 |
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