Organization · NPI-2

Acute Family Medicine Clinic INC

Family Medicine · Eagle River, AK

NPI number1679704688
StatusActive
Last updated in NPPESAug 7, 2009

Details

NPI
1679704688
Entity type
Organization (NPI-2)
Legal business name
Acute Family Medicine Clinic INC
Organization subpart
No
Enumeration date
Aug 7, 2009
Last updated
Aug 7, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine4780AKYes
207Q00000X Family Medicine5172AK
207Q00000X Family Medicine44822AK
363A00000X Physician Assistant367AK
363A00000X Physician Assistant2013AK
363A00000X Physician Assistant739AK
363LF0000X Nurse Practitioner, Family584AK
363LF0000X Nurse Practitioner, Family296AK
363LF0000X Nurse Practitioner, Family904AK

Other names

  • Alaska Healthcare Associates (Other Name)

Practice location

11470 Business Blvd
Ste 100
Eagle River, AK 99577-7780

Phone 907-622-4325 · Fax 907-622-4326

Mailing address

11470 Business Blvd
Ste 100
Eagle River, AK 99577-7780

Phone 907-622-4325 · Fax 907-622-4326

Authorized official

Daniel J Coverdell
President
9076224325

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