Wasilla Internal Medicine Llc
LBN: Wasilla Internal Medicine Llc
Wasilla Internal Medicine Llc is an health care organization with primary practice located at 3719 E Meridian Loop Ste F , Wasilla AK 99654-7273. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Wasilla Internal Medicine Llc can be contacted via phone (907) 373-5940, or through Reid, Mettessa Maye via phone (907) 250-3482.
Contact Information
Primary practice address
3719 E Meridian Loop Ste F
Wasilla AK 99654-7273
Phone: (907) 373-5940
Fax: (907) 373-5947
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X |
Profile Details
| NPI number | 1578110011 |
|---|---|
| LBN Legal business name | Wasilla Internal Medicine Llc |
| DBA Doing business as | |
| Authorized official | Reid, Mettessa Maye |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 20th, 2019 |
| Last updated | Aug 20th, 2019 - about 5 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 | 1578110011 | NPPES |
| Alaska | MEDICAID | MD5445 |
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