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:
Map and Directions
Authorized official contact:
Name: Varosi, Ellen R
Phone: (907) 373-4200

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275587768 NPPES
Alaska MEDICAID MDG043
Alaska MEDICAID MDG496

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