Meadowcreek Healthcare

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

423 Issued in AK

Legal business name

MEADOWCREEK HEALTHCARE

Practice address

16839 Park Place St
Eagle River, AK 99577-7819

Phone

(907) 694-3303

Fax

(907) 694-4773

NPI assigned

Oct 7, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Thomas A Fenger, PH.D., PA

Title

Provider

Phone

(907) 694-3303

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254873600000",
    "number": "1760717813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16839 PARK PLACE ST",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777819",
            "telephone_number": "907-694-3303",
            "fax_number": "907-694-4773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16839 PARK PLACE ST",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777819",
            "telephone_number": "907-694-3303",
            "fax_number": "907-694-4773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWCREEK HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-07",
        "last_updated": "2009-10-07",
        "status": "A",
        "authorized_official_last_name": "FENGER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "907-694-3303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., PA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AK",
            "license": "423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Ann McLain, DPT
• Sam McMichael
• Ashlyn McVey
• Tracie Meaders, LPC
• Meadow Creek Healthcare LLC
• Meaningful Living LLC
• Audrey Means
• Medical Network of Alaska, LLC
• Tanner Menard
• Michael Meyer, LMT

• Clinic/Center in Eagle River, AK
• Providers in Eagle River, AK by specialty
• Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; 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.