Alaska Family Wellness Center Inc

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

2741 Issued in AK

Legal business name

ALASKA FAMILY WELLNESS CENTER INC

Practice address

4200 Lake Otis Pkwy
Suite 304
Anchorage, AK 99508-5226

Phone

(907) 561-9444

Fax

(907) 561-9446

NPI assigned

Jan 24, 2008

Last updated

May 17, 2011By 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

Ms. Jennifer Kathleen Saady

Title

Medical Office Manager

Phone

(907) 561-9444

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 4

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.

• Billie Bergstrom, PAC

  • Physician Assistant
  • Anchorage, AK
  • NPI 1104983691
  NPD (past)
• Marsha K Brown, LMFT

  • Marriage & Family Therapist
  • Anchorage, AK
  • NPI 1538211131
  NPD (past)
• Mark Stephen Swircenski, PAC

  • Physician Assistant
  • Anchorage, AK
  • NPI 1033287990
  NPD (past)
• Clara O Scott, PA-C

  • Physician Assistant
  • Tacoma, WA
  • NPI 1649466376
  NPD (past)

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305590400000",
    "number": "1699952358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 LAKE OTIS PKWY",
            "address_2": "SUITE 304",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085226",
            "telephone_number": "907-561-9444",
            "fax_number": "907-561-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 LAKE OTIS PKWY",
            "address_2": "SUITE 304",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085226",
            "telephone_number": "907-561-9444",
            "fax_number": "907-561-9446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALASKA FAMILY WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2011-05-17",
        "status": "A",
        "authorized_official_last_name": "SAADY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "MEDICAL OFFICE MANAGER",
        "authorized_official_telephone_number": "907-561-9444",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "AK",
            "license": "2741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "27412",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alaska Family Counseling, LLC
• Alaska Family Dental LLC
• Alaska Family Dermatology, LLC
• Alaska Family Medical Care LLC
• Alaska Family Sonograms, Inc
• Alaska Family Women's H.O.P. Housing Service, Inc
• Alaska First Assist's LLC
• Alaska Functional Medicine Clinic Inc
• Alaska Hand Rehabilitation, Inc.
• Alaska Hand Surgery Associates, LLC

• Exclusive Provider Organization in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Exclusive Provider Organization in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.