| Lacuna Family Medicine, Inc. | |
|
204 4th Ave Seward AK 99664 | |
| (907) 491-0645 | |
| Not Available |
| Full Name | Lacuna Family Medicine, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 204 4th Ave, Seward, Alaska |
| Authorized Official Name and Position | Jerald P. Flynn (PRESIDENT) |
| Authorized Official Contact | 9074910645 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lacuna Family Medicine, Inc. Po Box 2816 Seward AK 99664-2816 Ph: (907) 491-0645 | Lacuna Family Medicine, Inc. 204 4th Ave Seward AK 99664 Ph: (907) 491-0645 |
| NPI Number | 1902352206 |
|---|---|
| Provider Enumeration Date | 08/28/2016 |
| Last Update Date | 08/29/2016 |
| Medicare PECOS PAC ID | 3476833328 |
|---|---|
| Medicare Enrollment ID | O20161210000132 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902352206 | NPI | - | NPPES |
| MD9543 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 1038449 (Alaska) | Primary |
| Provider Name | Jerry Flynn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003070780 PECOS PAC ID: 8325212392 Enrollment ID: I20111201000310 |
North Star Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 201 3rd Ave Suite 201, Seward, AK 99664 Phone: 907-224-3490 Fax: 907-224-5870 | |
Seward Community Health Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 417 First Ave, Seward, AK 99664 Phone: 907-224-2273 Fax: 907-224-8501 |