Arctic Chiropractic West Mat-Su, LLC
Organization Active NPI Chiropractor · Big Lake, AK
NPI 1013047117 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1013047117
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 429 (AK)
- Legal business name
- ARCTIC CHIROPRACTIC WEST MAT-SU, LLC
- Practice address
- Mile 51 George Parks Hwy
#2
Big Lake, AK 99652 - Phone
- (907) 892-7246
- NPI assigned
- Mar 7, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Walter L Campbell, DC
- Title
- Owner
- Phone
- (907) 250-7246
Practitioners 4
-
Scott Folsom, DC
-
Philip Wall, DC
-
Levi Baron, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080714000629 | AK | Part B Supplier - Clinic/Group Practice | 9436222171 |
Receives reassigned benefits from 4 practitioners Practice locations: Wasilla, AK |
National Provider Directory
Locations
9761 W Margin Way
#2
Big Lake, AK 99623
Phone (907) 892-7246
1830 E Parks Hwy
Ste A120
Wasilla, AK 99654
Phone (907) 373-5054
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 429 | AK | Yes |
Addresses
Primary practice location
Mile 51 George Parks Hwy
#2
Big Lake, AK 99652
Mailing address
1150 S Colony Way
Suite 3 PMB 226
Palmer, AK 99645-6900
Phone (907) 250-7246
Other providers in Big Lake, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.