Acute Family Medicine Clinic Inc
Organization Active NPI Family Medicine Physician · Eagle River, AK
NPI 1679704688 · NPPES record last updated Aug 7, 2009
Key facts
- NPI
- 1679704688
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 4780 (AK)
- Legal business name
- ACUTE FAMILY MEDICINE CLINIC INC
- Practice address
- 11470 Business Blvd
Ste 100
Eagle River, AK 99577-7780 - Phone
- (907) 622-4325
- Fax
- (907) 622-4326
- NPI assigned
- Aug 7, 2009
- Organization subpart
- No
Authorized official
- Name
- Dr. Daniel J Coverdell, MD
- Title
- President
- Phone
- (907) 622-4325
Practitioners 8
-
Daniel John Coverdell, M.D.
-
Lubov M Coverdell, M.D.
-
Thomas Joseph Elton, M.D.
-
Jyll K Green, ANP
-
Suzanne P Straub, ANP
-
Larry P Fisher, PA-C
-
James William Hartley, ARNP
-
Violet Frances Rice, FNP
National Provider Directory
Locations
11470 Business Blvd
Ste 100
Eagle River, AK 99577
Phone (907) 622-4325
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 4780 | AK | Yes |
| Family Medicine Physician |
207Q00000X | 5172 | AK | |
| Family Medicine Physician |
207Q00000X | 44822 | AK | |
| Physician Assistant |
363A00000X | 367 | AK | |
| Physician Assistant |
363A00000X | 2013 | AK | |
| Physician Assistant |
363A00000X | 739 | AK | |
| Family Nurse Practitioner |
363LF0000X | 584 | AK | |
| Family Nurse Practitioner |
363LF0000X | 296 | AK | |
| Family Nurse Practitioner |
363LF0000X | 904 | AK |
Addresses
Primary practice location
11470 Business Blvd
Ste 100
Eagle River, AK 99577-7780
Mailing address
11470 Business Blvd
Ste 100
Eagle River, AK 99577-7780
Phone (907) 622-4325
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD5172 | Medicaid | AK | |
| NPO904 | Medicaid | AK | |
| 44822 | Medicaid | AK | |
| NPO2962 | Medicaid | AK | |
| MD6321 | Medicaid | AK |
Other names
- ALASKA HEALTHCARE ASSOCIATES
Other providers in Eagle River, AK
- 1918 Winter Street Operating Co LLC
- A Lil Bit of Sunshine
- A Safe Harbor Counseling Services
- Dennis Abarr
- Adam Abdallah
- Tiffany G Adkins
- Kelly Adrian
- Advanced Telepsychiatry of Alaska LLC
- Alondra Aguirre
- Lauren Agwiak
All providers in Eagle River, AK · Family Medicine Physician in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.