South Central Family Practice Clinic Pc in Soldotna - Family Medicine
South Central Family Practice Clinic Pc - NPI 1003967753
South Central Family Practice Clinic Pc is a Family Medicine in Soldotna, Alaska. South Central Family Practice Clinic Pc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for South Central Family Practice Clinic Pc is 1003967753. The last update date is 2018-05-18.
South Central Family Practice Clinic Pc's current location address is Po Box 1249, Soldotna, Alaska. You can contact this provider via phone number 9072607784 and fax number 9072607738. The mailing address for South Central Family Practice Clinic Pc is Po Box 1249, Soldotna, Alaska. To know further, please read the information below!
Provider Profile Detail
Provider Organization | South Central Family Practice Clinic Pc |
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Address | Po Box 1249, Soldotna, Alaska |
Phone Number | 9072607784 |
Fax Number | 9072607738 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Bailon J Gladys |
Credentials | M.D. |
Telephone Number | 9072607784 |
NPI Number Detail
NPI Number | 1003967753 |
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Provider Enumeration Date | 2007-01-16 |
Last Updated Date | 2018-05-18 |
Provider Mailing Address Detail
Address | Po Box 1249 |
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City | Soldotna |
State | Alaska (AK) |
Post Code | 996691249 |
Phone Number | 9072607784 |
Fax Number | 9072607738 |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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Taxonomy | 207Q00000X |
Licence No | 901044 |
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
610985200 | AK | OWCP FEDERAL WORKERS COMP | |
610985200 | AK | OWCP FEDERAL BLACK LUNG | |
GJ520 | AK | PACIFIC SOURCE HEALTH |
Post Comment/ Review Below
What is the unique identification code assigned to South Central Family Practice Clinic Pc by the Centers for Medicare & Medicaid Services?
The South Central Family Practice Clinic Pc has been issued the NPI (National Provider Identifier) 1003967753. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where South Central Family Practice Clinic Pc's facilities are geographically located?
The facilities of South Central Family Practice Clinic Pc are physically situated at the following location: Po Box 1249, Soldotna, AK, 996691249.
What is South Central Family Practice Clinic Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for South Central Family Practice Clinic Pc is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
On what date did the South Central Family Practice Clinic Pc receive the assignment of its 1003967753 from the Centers for Medicare & Medicaid Services?
The South Central Family Practice Clinic Pc was issued its 1003967753 by the Centers for Medicare & Medicaid Services on 2007-01-16.
As of what date were the details pertaining to South Central Family Practice Clinic Pc last refreshed?
The information related to the South Central Family Practice Clinic Pc, including its address, specialty, and other relevant details, was last updated on 2018-05-18.