# FAMILY MEDICAL CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467712190
- **Authorized official:** DR. RAYMOND ANDREASSEN D.O. (PHYSICIAN/MEMBER)
- **Authorized official phone:** (907) 895-5100

## Contact information

- **Practice address:** 2360 SERVICE STREET, DELTA JUNCTION, AK 99737-9440
- **Practice address phone:** (907) 895-5100
- **Practice address fax:** (907) 895-5100
- **Mailing address:** HC 60 BOX 4860, DELTA JUNCTION, AK 99737-9440
- **Mailing address phone:** (907) 895-5100
- **Mailing address fax:** (907) 895-5133

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | 2011 | AK | — |
| 207P00000X | Emergency Medicine Physician | 5146 | AK | — |
| 207Q00000X | Family Medicine Physician | 2011 | AK | Yes |
| 207Q00000X | Family Medicine Physician | 5146 | AK | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 2011 | AK | — |
| 363A00000X | Physician Assistant | 441 | AK | — |
| 363A00000X | Physician Assistant | 980 | AK | — |
| 363L00000X | Nurse Practitioner | 883 | AK | — |

## Other

- **Enumeration date:** 05/29/2012
- **Last updated:** 05/29/2012