Organization
EAGLE RIVER PRIMARY CARE
Active
Other names
Eagle River Primary Care, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER J OXFORD PA-C (REGISTERED AGENT)
(907) 694-0770
Entity
Organization
Contact information
Practice address
11462 BUSINESS BLVD, EAGLE RIVER, AK 99577-7721
(907) 694-0770
(907) 694-1378
Mailing address
11462 BUSINESS BLVD, EAGLE RIVER, AK 99577-7721
(907) 694-0770
(907) 694-1378
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA448
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
INDIVIDUAL SSN
AK
01
—
1326187055
INDIVIDUAL NPI
AK
01
—
1407920085
INDIVIDUAL NPI
AK
05
—
MD42453
—
AK
05
—
MD57671
—
AK
Enumeration date
11/05/2007
Last updated
05/21/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us