ODLAND FAMILY PRACTICE CLINIC, LLC – NPI #1114269313
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.

Health Care Provider Taxonomy Code for Family Medicine

ODLAND FAMILY PRACTICE CLINIC, LLC is a provider located in WASILLA, AK. NPPES has assigned the NPI number 1114269313 to ODLAND FAMILY PRACTICE CLINIC, LLC on March 26, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

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 ODLAND FAMILY PRACTICE CLINIC, LLC below.

NPI Profile for
ODLAND FAMILY PRACTICE CLINIC, LLC

NPI Number
1114269313
Enumeration Date

(more than 13 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
ODLAND FAMILY PRACTICE CLINIC, LLC
Primary location
950 E BOGARD RD
SUITE 234
WASILLA, AK 99654-7184
Phone: (907) 355-0850 Fax: (907) 373-0117
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SHANNON PENDERGRASS
BILLING MANAGER
Phone: (907) 355-0850
Updated
Identifiers

Identifiers for ODLAND FAMILY PRACTICE CLINIC, LLC

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
MEDICAIDAKMD9857
MEDICAIDAKMD1574
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)		 AK 955730

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.