# MEADOWCREEK HEALTHCARE

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

## Provider details

- **NPI number:** 1760717813
- **Authorized official:** DR. THOMAS A FENGER PH.D., PA (PROVIDER)
- **Authorized official phone:** (907) 694-3303

## Contact information

- **Practice address:** 16839 PARK PLACE ST, EAGLE RIVER, AK 99577-7819
- **Practice address phone:** (907) 694-3303
- **Practice address fax:** (907) 694-4773
- **Mailing address:** 16839 PARK PLACE ST, EAGLE RIVER, AK 99577-7819
- **Mailing address phone:** (907) 694-3303
- **Mailing address fax:** (907) 694-4773

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 423 | AK | Yes |

## Other

- **Enumeration date:** 10/07/2009
- **Last updated:** 10/07/2009