Healthcare Provider Details

I. General information

NPI: 1316015480
Provider Name (Legal Business Name): ALASKA MEDICAL CLINICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2006
Last Update Date: 04/28/2025
Certification Date: 04/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 E PARKS HWY #200
WASILLA AK
99654-7352
US

IV. Provider business mailing address

1700 E PARKS HWY #200
WASILLA AK
99654-7352
US

V. Phone/Fax

Practice location:
  • Phone: 907-373-6055
  • Fax: 907-373-6077
Mailing address:
  • Phone: 907-373-6055
  • Fax: 907-373-6077

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: CHRISTINE GUAY
Title or Position: OFFICE MANAGER
Credential:
Phone: 907-373-6058