Healthcare Provider Details

I. General information

NPI: 1962040006
Provider Name (Legal Business Name): ARCTIC MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2019
Last Update Date: 05/30/2023
Certification Date: 05/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

288 W. 34TH AVE
ANCHORAGE AK
99503
US

IV. Provider business mailing address

288 W. 34TH AVE
ANCHORAGE AK
99503
US

V. Phone/Fax

Practice location:
  • Phone: 907-290-5500
  • Fax: 907-302-5990
Mailing address:
  • Phone: 907-290-5500
  • Fax: 907-302-5990

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. JOHN LLOYD
Title or Position: OWNER
Credential: DC
Phone: 907-821-5646