Wild Iris Family Medicine And Maternity Care

LBN: Wild Iris Llc
Wild Iris Family Medicine And Maternity Care is an health care organization with primary practice located at 851 E Westpoint Dr Suite 207, Wasilla AK 99654-7183. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Wild Iris Llc can be contacted via phone (907) 373-9463, or through Harrison, Lisa via phone (907) 373-9463.

Contact Information

Primary practice address
851 E Westpoint Dr Suite 207 Wasilla AK 99654-7183
Phone: (907) 373-9463
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Harrison, Lisa Doctor of Medicine (MD)
Phone: (907) 373-9463

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5448 Alaska

Profile Details

NPI number 1003244211
LBN Legal business name Wild Iris Llc
DBA Doing business as Wild Iris Family Medicine And Maternity Care
Authorized official Harrison, Lisa Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2013
Last updated Oct 20th, 2014 - about 10 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 1003244211 NPPES
Alaska MEDICAID 1012605

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