| Coho Family Medicine Llc | |
|
5030 E Shennum Dr Wasilla AK 99654-7718 | |
| (907) 357-0820 | |
| (888) 424-5578 |
| Full Name | Coho Family Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 5030 E Shennum Dr, Wasilla, Alaska |
| Authorized Official Name and Position | Steve Emery Parker (PHYSICIAN/OWNER) |
| Authorized Official Contact | 9073570820 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coho Family Medicine Llc Po Box 876196 Wasilla AK 99687-6196 Ph: (907) 357-0820 | Coho Family Medicine Llc 5030 E Shennum Dr Wasilla AK 99654-7718 Ph: (907) 357-0820 |
| NPI Number | 1427335785 |
|---|---|
| Provider Enumeration Date | 11/14/2011 |
| Last Update Date | 01/22/2025 |
| Medicare PECOS PAC ID | 3173781952 |
|---|---|
| Medicare Enrollment ID | O20120224000507 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427335785 | NPI | - | NPPES |
| MD1013 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 6631 (Alaska) | Primary |
| Provider Name | Steve E Parker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588699342 PECOS PAC ID: 9032185301 Enrollment ID: I20090818000865 |
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