URGENT CARE AT LAKE LUCILLE INC (NPI# 1275587768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275587768 |
| Entity Type | Organization |
| Organization Name | URGENT CARE AT LAKE LUCILLE INC |
| Practice Address |
185 E Parks Hwy Wasilla AK 99654-7038 |
| Practice Telephone | 9073734203 |
| Practice Fax Number | 9073734201 |
| Mailing Telephone | 9073734203 |
| Mailing Fax Number | 9073734201 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2010-05-04 |
| Authorized Official Name | MRS. ELLEN R VAROSI (FINANCIAL OFFICER) |
| Authorized Official Telephone | 9073734200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
157496 | AK | Ambulatory Health Care Facilities |
| N | 207Q00000X | Family Medicine | 3064 | AK | Allopathic & Osteopathic Physicians |
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
3064 | AK | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | MDG043 | 05 | |
| AK | MDG496 | 05 |
| Street Address |
185 E PARKS HWY |
| City | WASILLA |
| State | AK |
| Zip Code | 99654-7038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952490708 | Sarah Y B Kehoe | Physician Assistant | 185 E Parks Hwy, Wasilla, AK 99654-7038 | 2006-10-12 |
| 1407965288 | Louis M Packer | Family Medicine | 185 E Parks Hwy, Wasilla, AK 99654-7038 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
| 1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
| 1922648690 | Achieve Medical Alaska LLC | Clinic/Center | 1981 E Palmer, Suite 230, Wasilla, AK 99654 | 2020-01-10 |
| 1588205538 | Juan Carlos Garcia | Physician Assistant | 950 East Bogard Road, Suite 103, Wasilla, AK 99654 | 2019-10-01 |
| 1427610864 | Sharon Webb | Counselor | 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 | 2019-07-06 |
| 1306401864 | Logan Lee Cook | Peer Specialist | 2953 E Fairview Loop, Wasilla, AK 99654 | 2019-05-09 |
| 1053883595 | Moose Creek Medical Clinic LLC | Nurse Practitioner | 2341 S. Fern St., Suite 300, Wasilla, AK 99654 | 2018-12-21 |
| 1487124962 | Melissa A Stevens | Massage Therapist | 2201 W That Rd, Wasilla, AK 99654 | 2018-11-28 |
| 1609359561 | Audrey E Beers | Midwife | 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 | 2018-09-07 |
| 1093297418 | Karlee Janine Mccorry | Occupational Therapist | 613 S Knik-goose Bay Rd, Wasilla, AK 99654 | 2018-09-01 |
| Find all providers in zip 99654 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861935975 | Mat-su Valley IIi LLC | Clinic/Center | 5851 South Knik-goose Bay Road, Wasilla, AK 99623 | 2016-11-21 |
| 1013469741 | Medical Group of Alaska | Clinic/Center | 3066 E Meridian Park Loop, Wasilla, AK 99654-7254 | 2016-10-28 |
| 1538414834 | Medical Network of Alaska, LLC | Clinic/Center | 3066 E Meridian Park Loop, Suite 2, Wasilla, AK 99654 | 2012-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720614993 | Peninsula Instacare | Clinic/Center | 34581 Kenai Spur Hwy, Suite 1, Soldotna, AK 99669 | 2020-03-19 |
| 1588207179 | Central Peninsula General Hospital, Inc | Clinic/Center | 10128 Kenai Spur Hwy, Kenai, AK 99611-7807 | 2019-10-25 |
| 1003339334 | Kenai Peninsula Health System LLC Urgent Care of Soldotna | Clinic/Center | 44604 Sterling Hwy Ste D, Soldotna, AK 99669-7962 | 2017-07-19 |
| 1710358809 | Anchorage Medical Services, Inc | Clinic/Center | 3401 Minnesota Dr Ste 100, Anchorage, AK 99503-3684 | 2015-10-14 |
| 1770724510 | Horizon Medical, Inc | Clinic/Center | 238.8 Parks Highway, Denali Park, AK 99755 | 2009-03-06 |
| 1366596504 | Kodiak Island Ambulatory Care Clinic Inc. | Clinic/Center | 202 Center Ave, Ste. 102, Kodiak, AK 99615-1126 | 2007-01-23 |
| 1578655213 | First Care Medical Centers LLC | Clinic/Center | 1301 Huffman Rd, Suite 100, Anchorage, AK 99515-3568 | 2006-09-29 |
| 1609871391 | Cross Road Health Ministries, Inc. | Clinic/Center | Mile 187 Glenn Highway, Glennallen, AK 99588-0589 | 2005-06-17 |
| 1306484332 | Urgent Care of Soldotna Inc. | Clinic/Center | 44604 Sterling Hwy Ste D, Soldotna, AK 99669-7962 | 2019-12-20 |
| 1518472984 | Mat-su Valley IIi LLC | Clinic/Center | 209 W Evergreen Ave, Palmer, AK 99645-6952 | 2017-12-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.