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EAGLE RIVER PRIMARY CARE, LLC
NPI 1235319450
Physician Assistant - Medical in Eagle River, AK

Active since November 05, 2007
11462 BUSINESS BLVD, EAGLE RIVER, AK 99577(907) 694-0770(907) 694-1378 Get Directions Write a Review

NPPES record last updated: May 21, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eagle River Primary Care, Llc NPPES

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

EAGLE RIVER PRIMARY CARE, LLC (NPI 1235319450) is a healthcare organization registered as a medical in Eagle River, Alaska and active in the NPI registry since November 2007. The organization lists Jennifer J Oxford, Registered Agent, as its authorized official.

NPPES Registry Identity

NPI1235319450
Entity TypeOrganization
Primary Taxonomy363AM0700X
Legal Business NameEAGLE RIVER PRIMARY CARE
Location Address11462 BUSINESS BLVDEagle River, AK 99577-7721
Mailing Address11462 Business BlvdEagle River, AK 99577-7721 · (907) 694-0770 · Fax (907) 694-1378
Phone(907) 694-0770
Fax(907) 694-1378
Organization SubpartNo
Authorized OfficialJennifer J OxfordRegistered Agent · (907) 694-0770
Enumeration DateNovember 5, 2007
Last NPPES UpdateMay 21, 2020
✔ NPI 1235319450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in AK · PA448
11462 BUSINESS BLVD, Eagle River, AK 99577
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Other Names 1

Doing Business AsEagle River Primary Care, Llc

Other Identifiers 4

Other1326187055AK · Individual Npi
Other1407920085AK · Individual Npi
MedicaidMD57671AK
MedicaidMD42453AK

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

CHUGACH CHIROPRACTIC CLINIC LLC
Chiropractor
11462 BUSINESS BLVD
EAGLE RIVER, AK 99577
Anchorage Municipality (907) 694-9224
JANET DORSCH HUFF LPC
Counselor (Mental Health)
11462 BUSINESS BLVD
EAGLE RIVER, AK 99577
Anchorage Municipality (907) 354-0439
SHELLY WALTRIP
Massage Therapist
11462 BUSINESS BLVD
EAGLE RIVER, AK 99577
Anchorage Municipality (907) 694-9224
NICHOLAS LYNCH
Massage Therapist
11462 BUSINESS BLVD
EAGLE RIVER, AK 99577
Anchorage Municipality (907) 694-9224
DR. GREGORY MADDEN D.C.
Chiropractor
11462 BUSINESS BLVD
EAGLE RIVER, AK 99577
Anchorage Municipality (907) 694-9224
LISA THOMAS
Specialist
11462 BUSINESS BLVD
EAGLE RIVER, AK 99577
Anchorage Municipality (907) 315-5482
MYRON GAY SCHWEIGERT DC
Chiropractor
11462 BUSINESS BLVD
EAGLE RIVER, AK 99577
Anchorage Municipality (907) 694-9224

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 Eagle River Primary Care's NPI number?

The NPI number for Eagle River Primary Care is 1235319450. It was assigned to this organization in the NPPES registry on November 5, 2007. The provider is doing business as Eagle River Primary Care, LLC.

Where is Eagle River Primary Care located?

Eagle River Primary Care is located at 11462 Business Blvd, Eagle River, AK 99577. The listed phone number is (907) 694-0770.

What is Eagle River Primary Care's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Eagle River Primary Care was last updated on May 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.