Alaska Medical Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ALASKA MEDICAL CENTER

Practice address

188 W Northern Lights Blvd Ste 800
Anchorage, AK 99503-3984

Phone

(907) 276-2803

Fax

(907) 278-8052

NPI assigned

Nov 4, 2015

Last updated

Nov 4, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

William R Clark, MDNPI 1073567079

Title

Owner

Phone

(907) 276-2844

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William R Clark II

  • Urology Physician
  • Anchorage, AK
  • NPI 1073567079
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446595200000",
    "number": "1194198747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 W NORTHERN LIGHTS BLVD STE 800",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995033984",
            "telephone_number": "907-276-2803",
            "fax_number": "907-278-8052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 W NORTHERN LIGHTS BLVD STE 800",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995033984",
            "telephone_number": "907-276-2803",
            "fax_number": "907-278-8052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALASKA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-04",
        "last_updated": "2015-11-04",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-276-2844",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alaska Lung and Nodule Center LLC (Alaska Lung and Nodule Center)
• Alaska Marriage & Family Therapy Associates
• Alaska Marriage & Family Therapy Associates LLC
• Alaska Massage Company
• Alaska Medical Alliance LLC
• Alaska Medical Services Inc.
• Alaska Medical Specialists PC
• Alaska Medical Specialty Group LLC (Cindy Lee)
• Alaska Medicare Clinic, Inc
• Alaska Mental Fitness, LLC

• Ambulatory Surgical Clinic/Center in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Ambulatory Surgical Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.