NPI 1104165687

Susan K Miller

Organisation Health Maintenance Organization Wasilla, AK

Practice location

Address: 3051 S Caryshea St, Wasilla, AK 99623-9409
Phone: (907) 715-8620
Fax: (888) 477-7735
Mailing address: 452 S Knik Goose Bay Rd H100, Wasilla, AK 99654-8059

Authorised official

Name: Susan K Miller
Title: Care Coordinator
Phone: (907) 715-8620

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 979188 (AK)

Other Health Maintenance Organization providers in Alaska →

Registry record

NPI: 1104165687
Entity type: Organization
NPI issued: 4 Feb 2013
Record last updated: 19 Feb 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.