1. Home
  2. Directory
  3. Alaska
  4. Eagle River
  5. Family Medicine
  6. NPI Profile

HEART OF EAGLE RIVER MEDICAL CLINIC
NPI 1033277041
Family Medicine in Eagle River, AK

Active since December 04, 2006CLIA 02D0953917 · Microscopy
11432 BUSINESS BLVD, SUITE 4, EAGLE RIVER, AK 99577(907) 694-1300(907) 694-1315 Get Directions Write a Review

NPPES record last updated: June 21, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Heart Of Eagle River Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEART OF EAGLE RIVER MEDICAL CLINIC (NPI 1033277041) is a healthcare organization registered as a family medicine in Eagle River, Alaska and active in the NPI registry since December 2006. The organization holds a CLIA Microscopy certificate valid through November 12, 2026 and lists Nancy J Holder, Billing Agent, as its authorized official.

NPPES Registry Identity

NPI1033277041
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHEART OF EAGLE RIVER MEDICAL CLINIC
Location Address11432 BUSINESS BLVD, SUITE 4Eagle River, AK 99577-7720
Mailing Address11432 Business Blvd, Suite 4Eagle River, AK 99577-7720 · (907) 694-1300 · Fax (907) 694-1315
Phone(907) 694-1300
Fax(907) 694-1315
Organization SubpartNo
Authorized OfficialNancy J HolderBilling Agent · (907) 694-1300
Enumeration DateDecember 4, 2006
Last NPPES UpdateJune 21, 2018
✔ NPI 1033277041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

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.

11432 BUSINESS BLVD, Eagle River, AK 99577
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 02D0953917

Heart Of Eagle River Medical Clinic · Eagle River, AK
Active · expires Nov 12, 2026
CLIA Number02D0953917
Laboratory TypePhysician Office
Certificate Effective DateNovember 13, 2024
Certificate Expiration DateNovember 12, 2026
Laboratory DirectorJose P. Anzilotti, MD
Laboratory Phone(907) 694-1300
Laboratory LocationHeart Of Eagle River Medical Clinic11432 Business Blvd, Suite 4, Eagle River, AK 99577
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JANET E HULBERT ANP
Nurse Practitioner
11432 BUSINESS BLVD
EAGLE RIVER, AK 99577
Anchorage Municipality (907) 770-2380
FREDRICK GEORGE MAY PA-C
Physician Assistant
11432 BUSINESS BLVD
EAGLE RIVER, AK 99577
Anchorage Municipality (907) 694-1300
LILA MAE MC EWEN NP
Nurse Practitioner (Family)
11432 BUSINESS BLVD
EAGLE RIVER, AK 99577
Anchorage Municipality (907) 694-1300
THOMAS LIGUS MD
Internal Medicine
11432 BUSINESS BLVD
EAGLE RIVER, AK 99577
Anchorage Municipality (907) 694-1300
THOMAS WILLIAMS PT
Physical Therapist
11432 BUSINESS BLVD, SUITE 18
EAGLE RIVER, AK 99577
Anchorage Municipality (907) 622-6363

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heart Of Eagle River Medical Clinic's NPI number?

The NPI number for Heart Of Eagle River Medical Clinic is 1033277041. It was assigned to this organization in the NPPES registry on December 4, 2006.

Where is Heart Of Eagle River Medical Clinic located?

Heart Of Eagle River Medical Clinic is located at 11432 Business Blvd Suite 4, Eagle River, AK 99577. The listed phone number is (907) 694-1300.

What is Heart Of Eagle River Medical Clinic's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Heart Of Eagle River Medical Clinic hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 02D0953917) is associated with this NPI, valid through November 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Heart Of Eagle River Medical Clinic accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Heart Of Eagle River Medical Clinic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Heart Of Eagle River Medical Clinic was last updated on June 21, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.