Organization
ACUTE FAMILY MEDICINE CLINIC INC
Active
Other names
ALASKA HEALTHCARE ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL J COVERDELL MD (PRESIDENT)
(907) 622-4325
Entity
Organization
Contact information
Practice address
11470 BUSINESS BLVD, STE 100, EAGLE RIVER, AK 99577-7780
(907) 622-4325
(907) 622-4326
Mailing address
11470 BUSINESS BLVD, STE 100, EAGLE RIVER, AK 99577-7780
(907) 622-4325
(907) 622-4326
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
44822
AK
207Q00000X
Family Medicine Physician
Primary
4780
AK
207Q00000X
Family Medicine Physician
5172
AK
363A00000X
Physician Assistant
2013
AK
363A00000X
Physician Assistant
367
AK
363A00000X
Physician Assistant
739
AK
363LF0000X
Family Nurse Practitioner
296
AK
363LF0000X
Family Nurse Practitioner
584
AK
363LF0000X
Family Nurse Practitioner
904
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44822
—
AK
05
—
MD5172
—
AK
05
—
MD6321
—
AK
05
—
NPO2962
—
AK
05
—
NPO904
—
AK
Enumeration date
08/07/2009
Last updated
08/07/2009
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