LAKE OTIS MEDICAL CLINIC – NPI #1851573331
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

LAKE OTIS MEDICAL CLINIC is a provider located in ANCHORAGE, AK. NPPES has assigned the NPI number 1851573331 to LAKE OTIS MEDICAL CLINIC on November 27, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LAKE OTIS MEDICAL CLINIC” is a dba name, the actual legal business name for this organization is DIMOND MEDICAL CLINIC, LLC. 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 LAKE OTIS MEDICAL CLINIC below.

NPI Profile for
DIMOND MEDICAL CLINIC, LLC

NPI Number
1851573331
Enumeration Date

(more than 18 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
DIMOND MEDICAL CLINIC, LLC
Doing Business As (dba): LAKE OTIS MEDICAL CLINIC
Primary location
4001 LAKE OTIS PKWY
#100
ANCHORAGE, AK 99508-5211
Phone: (907) 561-7757 Fax:
Mailing address
300 E DIMOND BLVD
#12
ANCHORAGE, AK 99515-1908
Phone: (907) 341-7757 Fax:
Organization Subpart
No
Authorized Official
DEBORAH MACLEAN
OFFICE MGR
Phone: (907) 341-7757
Updated
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 905735

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.