# ALASKA MEDICARE CLINIC, INC

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

## Provider details

- **NPI number:** 1790087534
- **Authorized official:** MR. MICHAEL HAUGEN (PRESIDENT OF BOARD OF DIRECTORS)
- **Authorized official phone:** (907) 561-7705

## Contact information

- **Practice address:** 11260 OLD SEWARD HWY, SUITE 107, ANCHORAGE, AK 99515-3038
- **Practice address phone:** (907) 433-5100
- **Practice address fax:** (907) 433-5110
- **Mailing address:** 11260 OLD SEWARD HWY, SUITE 107, ANCHORAGE, AK 99515-3038
- **Mailing address phone:** (907) 433-5100
- **Mailing address fax:** (907) 433-5110

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | 947073 | AK | Yes |

## Other

- **Enumeration date:** 11/30/2010
- **Last updated:** 03/22/2012