CAPSTONE CLINIC – NPI #1013551456
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CAPSTONE CLINIC is a provider located in KENAI, AK. NPPES has assigned the NPI number 1013551456 to CAPSTONE CLINIC on October 29, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CAPSTONE CLINIC” is a dba name, the actual legal business name for this organization is MEDICAL NETWORK OF ALASKA, LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

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 CLINIC below.

NPI Profile for
MEDICAL NETWORK OF ALASKA, LLC

NPI Number
1013551456
Enumeration Date

(more than 6 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 CLINIC
Primary location
10543 KENAI SPUR HWY
KENAI, AK 99611-7812
Phone: (907) 357-9590 Fax: (907) 357-9593
1 Other location(s):
3122 E Meridian Park Loop
Wasilla, AK 99654-7255
Phone: (907) 357-9590
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 CLINIC 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.

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
207Q00000X
- Family Medicine (Primary)
208D00000X
- General Practice

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.