Provider Demographics
NPI:1053851949
Name:ALASKA FAMILY HEALTH CENTERS, LLC
Entity Type:Organization
Organization Name:ALASKA FAMILY HEALTH CENTERS, LLC
Other - Org Name:THE FAMILY HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:
Authorized Official - Last Name:NARDINI
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:907-745-1777
Mailing Address - Street 1:561 S DENALI ST STE E
Mailing Address - Street 2:
Mailing Address - City:PALMER
Mailing Address - State:AK
Mailing Address - Zip Code:99645-6464
Mailing Address - Country:US
Mailing Address - Phone:907-745-1777
Mailing Address - Fax:907-745-0226
Practice Address - Street 1:561 S DENALI ST STE E
Practice Address - Street 2:
Practice Address - City:PALMER
Practice Address - State:AK
Practice Address - Zip Code:99645-6464
Practice Address - Country:US
Practice Address - Phone:907-745-1777
Practice Address - Fax:907-745-0226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-27
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1046189207Q00000X, 207Q00000X
AKNURR19235364SF0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No364SF0001XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistFamily HealthGroup - Single Specialty