NPIMap

Organization Active NPI

Alaska Medicare Clinic, Inc

  • Primary Care Clinic/Center
  • Anchorage, AK
National Provider Identifier
1790087534
Registry record updated Mar 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
947073 Issued in AK
Legal business name
ALASKA MEDICARE CLINIC, INC
Practice address
11260 Old Seward Hwy
Suite 107
Anchorage, AK 99515-3038
Phone
(907) 433-5100
Fax
(907) 433-5110
NPI assigned
Nov 30, 2010
Last updated
Mar 22, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2012

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

Authorized official

Name
Mr. Michael Haugen
Title
President of Board of Directors
Phone
(907) 561-7705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 947073 AK Primary

Addresses

Primary practice location

11260 Old Seward Hwy
Suite 107
Anchorage, AK 99515-3038

Mailing address

11260 Old Seward Hwy
Suite 107
Anchorage, AK 99515-3038
Phone (907) 433-5100

National Provider Directory

National Provider Directory

Locations

11260 Old Seward Hwy
Ste 107
Anchorage, AK 99515
Phone (907) 433-5100

Practitioners & affiliated clinicians

Practitioners 3

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": "1291075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332374400000",
    "number": "1790087534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11260 OLD SEWARD HWY",
            "address_2": "SUITE 107",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995153038",
            "telephone_number": "907-433-5100",
            "fax_number": "907-433-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11260 OLD SEWARD HWY",
            "address_2": "SUITE 107",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995153038",
            "telephone_number": "907-433-5100",
            "fax_number": "907-433-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALASKA MEDICARE CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-30",
        "last_updated": "2012-03-22",
        "status": "A",
        "authorized_official_last_name": "HAUGEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT OF BOARD OF DIRECTORS",
        "authorized_official_telephone_number": "907-561-7705",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AK",
            "license": "947073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.