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Independence Healthcare Pc
Medical Specialty Clinic/Center in Soldotna, Alaska
NPI 1891790184

Independence Healthcare Pc is a Medical Specialty Clinic/Center based in Soldotna, AK and is specialized in Medical Specialty. Independence Healthcare Pc practices in Soldotna, AK. The NPI Number for Independence Healthcare Pc is 1891790184 and holds a License No. 264120 (Alaska).

The current practice location address for Independence Healthcare Pc is 289 N Fireweed St Ste D, Soldotna, AK and can be reached out via phone at 907-262-6454 and via fax at 907-262-0832.

Location: 289 N Fireweed St Ste D, Soldotna, AK, 99669-7540
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1891790184
Provider Name
Independence Healthcare Pc
Credential
Provider Entity Type
Organization
Address
289 N Fireweed St Ste D, Soldotna, AK, 99669-7540
Phone Number
907-262-6454
Fax Number
907-262-0832
Provider Enumeration Date
06/14/2005
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4127920001 01 AK DMERC SUPPLIER NO.
264120 01 AK AK. BUSINESS LICENSE
MDG 575 05 AK
institution
Provider Business Practice Location Address Details
Address
289 N Fireweed St Ste D
City
Soldotna
State
Alaska
Zip
99669-7570
Phone Number
907-262-6454
Fax Number
907-262-0832
person
Provider Business Mailing Address Details
Address
289 N Fireweed St Ste D
City
Soldotna
State
Alaska
Zip
99669-7570
Phone Number
907-262-6454
Fax Number
907-262-0832
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
264120 (Alaska)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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