# WHITE SKYE SUMMIT LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WHITE SKYE SUMMIT LLC
- **Other names:** Arctic Skye Family Medicine, Arctic Skye Family medicime
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1205035573
- **Legal business name:** WHITE SKYE SUMMIT LLC
- **Authorized official:** REBECCA SC WHITE MD (OWNER/MEMBER)
- **Authorized official phone:** (907) 357-7944

## Contact information

- **Practice address:** 2851 E PALMER WASILLA HWY STE 3, WASILLA, AK 99654-7499
- **Practice address phone:** (907) 357-7944
- **Practice address fax:** (907) 357-7991
- **Mailing address:** 561 S DENALI, SUITE E, PALMER, AK 99645
- **Mailing address phone:** (907) 745-7944
- **Mailing address fax:** (907) 745-7918

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 2726 | AK | Yes |

## Other

- **Enumeration date:** 07/16/2007
- **Last updated:** 06/07/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2726 | STATE LICENSE | AK |