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
Fax: (907) 373-5947
Website:
Authorized official contact:
Name: Reid, Mettessa Maye

Health care specialties

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578110011 NPPES
Alaska MEDICAID MD5445

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