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ALASKA FAMILY WELLNESS CENTER INC
>> Exclusive Provider Organization >> Managed Care OrganizationsRegistrant NPI Number: 1699952358
Organizational Registrant:
Organization Name: ALASKA FAMILY WELLNESS CENTER INC
Organization is not Subpart
Authorized Official: JENNIFER KATHLEEN SAADY MEDICAL OFFICE MANAGER 907--56-19444
Location and contact information for practice:
4200 LAKE OTIS PKWY SUITE 304 ANCHORAGE, AK 99508-5226 US
Tel: 907-561-9444 Fax: 907-561-9446
Contact information for business:
4200 LAKE OTIS PKWY SUITE 304 ANCHORAGE, AK 99508-5226 US
Tel: 907-561-9444 Fax: 907-561-9446
Registration Information:
NPI: 1699952358
Entity Type: Organization
Specialty information:
Primary | Code | Category/Description | State | License Number |
---|
N | 302F00000X | Managed Care Organizations Exclusive Provider Organization
| | |
Y | 302F00000X | Managed Care Organizations Exclusive Provider Organization | AK | 2741 |
Legacy codes, insurance codes and state license numbers:
Issuer | Number | State | Type |
---|
| 27412 | AK | 05 |
HEALTH CARE JOBS AK - Page 1