Jh Backcountry Health Llc | |
7216 Lake Otis Pkwy Anchorage AK 99507-2740 | |
(907) 720-2132 | |
(907) 802-4450 |
Full Name | Jh Backcountry Health Llc |
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Speciality | Clinic/Center |
Location | 7216 Lake Otis Pkwy, Anchorage, Alaska |
Authorized Official Name and Position | Tyler Ross Wright (CO-OWNER) |
Authorized Official Contact | 3076991702 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jh Backcountry Health Llc Po Box 230622 Anchorage AK 99523-0622 Ph: (307) 699-3213 | Jh Backcountry Health Llc 7216 Lake Otis Pkwy Anchorage AK 99507-2740 Ph: (907) 720-2132 |
NPI Number | 1083129944 |
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Provider Enumeration Date | 12/13/2017 |
Last Update Date | 05/22/2025 |
Medicare PECOS PAC ID | 4082057658 |
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Medicare Enrollment ID | O20240210000683 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083129944 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Laura Peterson Wright |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1407361355 PECOS PAC ID: 6800239476 Enrollment ID: I20240315003341 |
Provider Name | Tyler Ross Wright |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1891200762 PECOS PAC ID: 5991148561 Enrollment ID: I20240426002737 |
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