Organization
FAMILY MEDICAL CENTER
Active
Organization
FAMILY MEDICAL CENTER
Active
Other names
RAY ANDREASSEN DO
Organization subpart
No
Provider details
NPI number
Authorized official
RAY ANDERSON (PHYSICIAN OWNER)
(907) 895-5100
Entity
Organization
Contact information
Practice address
2360 SERVICE ST, DELTA JUNCTION, AK 99737
(907) 895-5100
(907) 895-5133
Mailing address
HC 60 BOX 4860, DELTA JUNCTION, AK 99737-9440
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
AA2011
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0227745
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
9969
—
AK
Enumeration date
09/21/2006
Last updated
08/12/2008
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