Glacier Family Medicine Clinic Llc in Seward - Physician Assistant
Glacier Family Medicine Clinic Llc - NPI 1942323779
Glacier Family Medicine Clinic Llc is a Physician Assistant in Seward, Alaska. Glacier Family Medicine Clinic Llc practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Glacier Family Medicine Clinic Llc is 1942323779. The last update date is 2011-04-13.
Glacier Family Medicine Clinic Llc's current location address is 11724 Seward Hwy, Seward, Alaska. You can contact this provider via phone number 9072248733 and fax number 9072248734. The mailing address for Glacier Family Medicine Clinic Llc is 11724 Seward Hwy, Seward, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Glacier Family Medicine Clinic Llc |
|---|---|
| Address | 11724 Seward Hwy, Seward, Alaska |
| Phone Number | 9072248733 |
| Fax Number | 9072248734 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO PHYSIC |
|---|---|
| Authorized Official Name | Ursel Allen Brent |
| Credentials | PAC |
| Telephone Number | 9072248733 |
NPI Number Detail
| NPI Number | 1942323779 |
|---|---|
| Provider Enumeration Date | 2007-04-08 |
| Last Updated Date | 2011-04-13 |
Provider Mailing Address Detail
| Address | 11724 Seward Hwy |
|---|---|
| City | Seward |
| State | Alaska (AK) |
| Post Code | 996649714 |
| Phone Number | 9072248733 |
| Fax Number | 9072248734 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 202 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| MD22813 | AK | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Glacier Family Medicine Clinic Llc by the Centers for Medicare & Medicaid Services?
The Glacier Family Medicine Clinic Llc has been issued the NPI (National Provider Identifier) 1942323779, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Glacier Family Medicine Clinic Llc is located?
The Glacier Family Medicine Clinic Llc is situated at the following address: 11724 Seward Hwy, Seward, AK, 996649714.
What is Glacier Family Medicine Clinic Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Glacier Family Medicine Clinic Llc's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1942323779 to Glacier Family Medicine Clinic Llc?
The Centers for Medicare & Medicaid Services originally issued the 1942323779 to Glacier Family Medicine Clinic Llc on 2007-04-08.
As of what date were the Glacier Family Medicine Clinic Llc's details last updated?
The information pertaining to the Glacier Family Medicine Clinic Llc, including its address, specialty, and other details, was most recently updated on 2011-04-13.