OrganizationActive
Medical Network of Alaska, LLC
NPI 1497478598 · Clinic/Center · Wasilla, AK
Provider details
- NPI number
- 1497478598
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Medical Network of Alaska, LLC
- Organization subpart
- Yes
- Authorized official
- Jacquelyn Blomker, Director of Revenue Cycle(907) 864-4625
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
3331 E Meridian Park Loop
Wasilla, AK 99654-7294
Phone: (907) 864-4625
Fax: (907) 313-1540
Approximate (ZIP-level) locationGet directions
Mailing address
3331 E Meridian Park Loop
Wasilla, AK 99654-7294
Registry dates
- Enumerated
- 2022-09-22
- Last updated
- 2024-01-30
- Certified
- 2024-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.