CAPSTONE URGENT CARE – NPI #1538414834
Clinic/Center

CAPSTONE URGENT CARE is an AHC clinic located in WASILLA, AK. NPPES has assigned the NPI number 1538414834 to CAPSTONE URGENT CARE on July 23, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CAPSTONE URGENT CARE” is a dba name, the actual legal business name for this organization is MEDICAL NETWORK OF ALASKA, LLC. The primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

The NPI profile was previously updated about 6 years ago on Nov 02, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CAPSTONE URGENT CARE below.

NPI Profile for
MEDICAL NETWORK OF ALASKA, LLC

NPI Number
1538414834
Enumeration Date

(about 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MEDICAL NETWORK OF ALASKA, LLC
Doing Business As (dba): CAPSTONE URGENT CARE
Primary location
3066 E MERIDIAN PARK LOOP
SUITE 2
WASILLA, AK 99654
Phone: (907) 357-9560 Fax: (907) 357-9593
Mailing address
3122 E MERIDIAN PARK LOOP
WASILLA, AK 99654-7255
Phone: (907) 357-9590 Fax: (907) 357-9593
Organization Subpart
Yes - CAPSTONE URGENT CARE is subpart of another organization.
Authorized Official
JACQUELYN BLOMKER
RCM
Phone: (907) 864-4625
Updated
Certification Date
Nov 02, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CAPSTONE URGENT CARE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDAK1654525
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QU0200X
- Clinic/Center / Urgent Care (Primary)		 AK 976106

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.