| Anchorage Housecall Medicine Llc | |
|
1444 S Creek Rd Eagle River AK 99577-9461 | |
| (907) 622-4663 | |
| (907) 622-4643 |
| Full Name | Anchorage Housecall Medicine Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1444 S Creek Rd, Eagle River, Alaska |
| Authorized Official Name and Position | John Andrew Winczura (OWNER/PROVIDER) |
| Authorized Official Contact | 9076224663 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anchorage Housecall Medicine Llc 1444 S Creek Rd Eagle River AK 99577-9461 Ph: (907) 622-4663 | Anchorage Housecall Medicine Llc 1444 S Creek Rd Eagle River AK 99577-9461 Ph: (907) 622-4663 |
| NPI Number | 1497118574 |
|---|---|
| Provider Enumeration Date | 04/05/2016 |
| Last Update Date | 04/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497118574 | NPI | - | NPPES |
| MDA0160 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 1032371 (Alaska) | Primary |
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