Girdwood Clinic, Inc.
Girdwood Clinic, Inc. is a health care provider in Girdwood, AK. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location|| Lot 17 Block 1, New Girdwood Town Site, Girdwood, AK 99587, US |
|Practice Location Phone||907-783-1355|
|Practice Location Fax||907-783-1357|
|Legal Business Name||GIRDWOOD CLINIC, INC.|
|Enumeration Date ? ||Jun 13, 2006|
|Last Update Date ? ||Jul 9, 2007|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Girdwood Clinic, Inc.
|Specialty||Provider Type||Specialization||License||License State|
|Nurse Practitioner||Physician Assistants & Advanced Practice Nursing Providers|| |
Legacy Provider IDs of Girdwood Clinic, Inc.
|Provider Id||Issuer State||Issuer Type||Issuer|
Authorized Official of Girdwood Clinic, Inc.
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Girdwood Clinic, Inc.'s status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official || Kerry L Dorius (ANP)|
|Authorized Official Title/Position||PRESIDENT|
|Authorized Official Phone Number||907-783-1355|