MEDICARE: ALASKA FAMILY MEDICAL CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1699872960
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALASKA FAMILY MEDICAL CARE LLC

Provider Business Mailing Address
First Line	:	4045 LAKE OTIS PKWY STE 201
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99508-5227
Country	:	US
Telephone Number	:	907-562-4045
Fax Number	:	907-562-4047

Provider Business Practice Location Address
First Line	:	4045 LAKE OTIS PKWY STE 201
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99508-5227
Country	:	US
Telephone Number	:	907-562-4045
Fax Number	:	907-562-4047

Authorized Official
Title or Position	:	MEMBER
Name	:	ILONA FARR
Credential	:	MD
Telephone Number	:	907-562-4045

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	04/23/2008

Similar Medicare Providers

1528091428 — MR. JOSHUA BARRETT ARVIDSON LCSW
Practice Location Address:

4045 LAKE OTIS PKWY STE 103
ANCHORAGE, AK
99508-5227

Practice Phone: 907-762-2817
Practice Fax: 907-561-7093

1184725202 — DR. EDWARD BANCROFT O. D.
Practice Location Address:

4045 LAKE OTIS PKWY , STE 203
ANCHORAGE, AK
99508-5227

Practice Phone: 907-562-2020
Practice Fax: 907-563-4821

1417026873 — MR. DALE EVERETT SPRINGHILL D.C.
Practice Location Address:

4045 LAKE OTIS PKWY STE 204
ANCHORAGE, AK
99508-5227

Practice Phone: 907-276-3800
Practice Fax: 907-276-3810

1801918800 — LELINDA ANNE BOURGEOIS II
Practice Location Address:

4045 LAKE OTIS PKWY STE 101
ANCHORAGE, AK
99508-5227

Practice Phone: 907-762-2815
Practice Fax:

1699968693 — DANNON OTOMIKO MIMS
Practice Location Address:

4045 LAKE OTIS PKWY STE 101
ANCHORAGE, AK
99508-5227

Practice Phone: 907-337-5650
Practice Fax:

1841468527 — CARLY TIBBETTS
Practice Location Address:

4045 LAKE OTIS PKWY STE 101
ANCHORAGE, AK
99508-5227

Practice Phone: 907-742-0133
Practice Fax:

Directions to “ALASKA FAMILY MEDICAL CARE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.