| Integrated Care, Llc | |
|
540 E Hjellen Drive Wasilla AK 99654 | |
| (907) 696-1654 | |
| (907) 696-3654 |
| Full Name | Integrated Care, Llc |
|---|---|
| Speciality | General Practice |
| Location | 540 E Hjellen Drive, Wasilla, Alaska |
| Authorized Official Name and Position | Michael T Underwood (AGENT) |
| Authorized Official Contact | 9076961654 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Care, Llc Po Box 773313 Eagle River AK 99577-3313 Ph: (907) 696-1654 | Integrated Care, Llc 540 E Hjellen Drive Wasilla AK 99654 Ph: (907) 696-1654 |
| NPI Number | 1104154913 |
|---|---|
| Provider Enumeration Date | 12/07/2009 |
| Last Update Date | 12/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104154913 | NPI | - | NPPES |
| 380 | Other | AK | AK STATE LICENSE |
| 1881735967 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 380 (Alaska) | Primary |
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