Organization Active NPI

Health Works Family Medical Clinic Inc

  • Family Nurse Practitioner
  • Eagle River, AK
National Provider Identifier
1679772735
Registry record updated Apr 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
HEALTH WORKS FAMILY MEDICAL CLINIC INC
Practice address
12812 Old Glenn Hwy Ste A7
Eagle River, AK 99577-7003
Phone
(907) 622-9675
NPI assigned
Jul 17, 2007
Last updated
Apr 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2011

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

Authorized official

Name
Mary Ann Egbert, A.N.P.NPI 1174703268
Title
Owner
Phone
(907) 622-9675

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

12812 Old Glenn Hwy Ste A7
Eagle River, AK 99577-7003

Mailing address

12812 Old Glenn Hwy Suite A7
Eagle River, AK 99577-7558
Phone (907) 770-2301

Other identifiers 1

IdentifierTypeStateIssuer
MPG0003MedicaidAK

National Provider Directory

National Provider Directory

Locations

12812 Old Glenn Hwy
Ste A7
Eagle River, AK 99577
Phone (907) 622-9675

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": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303344000000",
    "number": "1679772735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12812 OLD GLENN HWY SUITE A7",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777558",
            "telephone_number": "907-770-2301",
            "fax_number": "907-770-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12812 OLD GLENN HWY STE A7",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777003",
            "telephone_number": "907-622-9675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH WORKS FAMILY MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2011-04-21",
        "status": "A",
        "authorized_official_last_name": "EGBERT",
        "authorized_official_first_name": "MARY ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-622-9675",
        "authorized_official_credential": "A.N.P."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MPG0003",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle River, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; 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.