# MEDICAL NETWORK OF ALASKA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CAPSTONE FAMILY MEDICINE, LLC
- **Other names:** Capstone Urgent Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1538414834
- **Legal business name:** CAPSTONE FAMILY MEDICINE, LLC
- **Authorized official:** MRS. JACQUELYN RENEE BLOMKER (RCM)
- **Authorized official phone:** (907) 864-4625

## Contact information

- **Practice address:** 3066 E MERIDIAN PARK LOOP, SUITE 2, WASILLA, AK 99654
- **Practice address phone:** (907) 357-9560
- **Practice address fax:** (907) 357-9593
- **Mailing address:** 3122 E MERIDIAN PARK LOOP, WASILLA, AK 99654-7255
- **Mailing address phone:** (907) 357-9590
- **Mailing address fax:** (907) 357-9593

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | 976106 | AK | Yes |

## Other

- **Enumeration date:** 07/23/2012
- **Last updated:** 11/02/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1654525 | — | AK |