ODYSSEY URGENT CARE AND OCCUPATIONAL HEALTH NPI 1265203160

NPI Information

  • NPI: 1265203160
  • Provider Name: ODYSSEY URGENT CARE AND OCCUPATIONAL HEALTH
  • Classification: Clinic/Center - 261QU0200X
  • Specialization: Urgent Care
  • Entity Type: Organization
  • CLIA Number: 02D2317861
  • Address: ODYSSEY FAMILY PRACTICE LLC
    11595 KENAI SPUR HWY
    KENAI, AK
    ZIP 99611
  • Phone: (907) 313-4569

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NPI Details

ODYSSEY URGENT CARE AND OCCUPATIONAL HEALTH is an urgent care clinic center in Kenai, AK. ODYSSEY URGENT CARE AND OCCUPATIONAL HEALTH NPI is 1265203160. The provider is registered as an organization entity type.

The provider's business location address is:

ODYSSEY FAMILY PRACTICE LLC
11595 KENAI SPUR HWY
KENAI, AK
ZIP 99611
Phone: (907) 313-4569
Fax: (907) 313-4939

The provider's authorized official is Jared L Wallace .
The authorized official title is Managing Member and has the following contact phone number (907) 313-4569.

The CLIA number assigned to this NPI record is 02D2317861 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/10/2024 and was last updated on 6/18/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QU0200XClinic/CenterUrgent CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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