Kodiak Island Medical Associates Llc in Kodiak - Multi-specialty
Kodiak Island Medical Associates Llc - NPI 1770529794
Kodiak Island Medical Associates Llc is a Multi-specialty in Kodiak, Alaska. Kodiak Island Medical Associates Llc practices all healthcare services and medical treatments related to Multi-specialty. The NPI Number for Kodiak Island Medical Associates Llc is 1770529794. The last update date is 2017-12-06.
Kodiak Island Medical Associates Llc's current location address is Po Box 8689, Kodiak, Alaska. You can contact this provider via phone number 9074866065 and fax number 9074862248. The mailing address for Kodiak Island Medical Associates Llc is Po Box 8689, Kodiak, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kodiak Island Medical Associates Llc |
|---|---|
| Address | Po Box 8689, Kodiak, Alaska |
| Phone Number | 9074866065 |
| Fax Number | 9074862248 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Withrow E Mark |
| Telephone Number | 9074866065 |
NPI Number Detail
| NPI Number | 1770529794 |
|---|---|
| Provider Enumeration Date | 2006-06-20 |
| Last Updated Date | 2017-12-06 |
Provider Mailing Address Detail
| Address | Po Box 8689 |
|---|---|
| City | Kodiak |
| State | Alaska (AK) |
| Post Code | 996158689 |
| Phone Number | 9074866065 |
| Fax Number | 9074862248 |
Provider's Primary Taxonomy Detail
| Speciality | Multi-specialty |
|---|---|
| Taxonomy | 261Qm1300X |
|
Definition: Provides integrated outpatient care across medical and surgical specialties with referrals under one roof. |
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What is the Kodiak Island Medical Associates Llc's 1770529794?
The Kodiak Island Medical Associates Llc's NPI (National Provider Identifier) Number is 1770529794. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Kodiak Island Medical Associates Llc is physically located?
The Kodiak Island Medical Associates Llc is situated at the following address: Po Box 8689, Kodiak, AK 996158689.
What is Kodiak Island Medical Associates Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kodiak Island Medical Associates Llc is Multi-specialty, and the corresponding taxonomy classification code for this specialized field is 261Qm1300X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1770529794 to Kodiak Island Medical Associates Llc?
The Centers for Medicare & Medicaid Services originally issued the 1770529794 to Kodiak Island Medical Associates Llc on 2006-06-20.
As of what date was the information regarding Kodiak Island Medical Associates Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kodiak Island Medical Associates Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-12-06.
NPI Number: 1356344279
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