MEDICARE: ANCHORAGE VAMC

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	282N00000X	General Acute Care Hospital

General Provider Information

NPI Number	:	1417909011
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANCHORAGE VAMC

Provider Business Mailing Address
First Line	:	1201 N MULDOON RD
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99504-6104
Country	:	US
Telephone Number	:	907-257-4700
Fax Number	:	907-257-6774

Provider Business Practice Location Address
First Line	:	1201 N MULDOON RD
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99504-6104
Country	:	US
Telephone Number	:	907-257-4700
Fax Number	:	907-257-6774

Authorized Official
Title or Position	:	DIRECTOR, BUSINESS DEVELOPMENT
Name	:	BARBARA MAYERICK
Credential	:
Telephone Number	:	202-461-1550

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	07/22/2011

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Directions to “ANCHORAGE VAMC ” Practice Location

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