NPIMap

Organization Active NPI

Family Medical Center, Inc.

  • Family Medicine Physician
  • Delta Junction, AK
National Provider Identifier
1467712190
Registry record updated May 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2011 Issued in AK
Legal business name
FAMILY MEDICAL CENTER, INC.
Practice address
2360 Service Street
Delta Junction, AK 99737-9440
Phone
(907) 895-5100
Fax
(907) 895-5100
NPI assigned
May 29, 2012
Last updated
May 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2012

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

Authorized official

Name
Dr. Raymond Andreassen, D.O.NPI 1972597185
Title
Physician/Member
Phone
(907) 895-5100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 980 AK
Physician Assistant 363A00000X 441 AK
Nurse Practitioner 363L00000X 883 AK
Emergency Medicine Physician 207P00000X 2011 AK
Emergency Medicine Physician 207P00000X 5146 AK
Family Medicine Physician 207Q00000X 5146 AK
Family Medicine Physician 207Q00000X 2011 AK Primary
Physical Medicine & Rehabilitation Physician 208100000X 2011 AK

Addresses

Primary practice location

2360 Service Street
Delta Junction, AK 99737-9440

Mailing address

HC 60 Box 4860
Delta Junction, AK 99737-9440
Phone (907) 895-5100

National Provider Directory

National Provider Directory

Locations

4860 HC 60
Delta Junction, AK 99737
Phone (907) 895-5100

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338249600000",
    "number": "1467712190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 60 BOX 4860",
            "city": "DELTA JUNCTION",
            "state": "AK",
            "postal_code": "997379440",
            "telephone_number": "907-895-5100",
            "fax_number": "907-895-5133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 SERVICE STREET",
            "city": "DELTA JUNCTION",
            "state": "AK",
            "postal_code": "997379440",
            "telephone_number": "907-895-5100",
            "fax_number": "907-895-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-29",
        "last_updated": "2012-05-29",
        "status": "A",
        "authorized_official_last_name": "ANDREASSEN",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "PHYSICIAN/MEMBER",
        "authorized_official_telephone_number": "907-895-5100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "980",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "441",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AK",
            "license": "883",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AK",
            "license": "2011",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AK",
            "license": "5146",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "5146",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "2011",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AK",
            "license": "2011",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delta Junction, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; 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.