HEART OF WILLOW MEDICAL CLINIC
NPI 1982721981
General Practice in Willow, AK

Q: What is Jose Primo N Anzilotti's NPI number?

The NPI number for Jose Primo N Anzilotti is 1982721981. It was assigned to this organization in the NPPES registry on March 23, 2007. The provider is doing business as Heart Of Willow Medical Clinic.

Q: What is Jose Primo N Anzilotti's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since March 23, 2007CLIA 02D1025900 · Microscopy

MILE 69.1 PARKS HIGHWAY, WILLOW, AK 99688(907) 495-4362(907) 495-4363 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Heart Of Willow Medical Clinic NPPES

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

HEART OF WILLOW MEDICAL CLINIC (NPI 1982721981) is a healthcare organization registered as a general practice in Willow, Alaska and active in the NPI registry since March 2007. The organization holds a CLIA Microscopy certificate valid through May 19, 2028 and lists Joseph E Beaty, Billing Agent, as its authorized official.

NPPES Registry Identity

NPI1982721981

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameJOSE PRIMO N ANZILOTTI

Location AddressMILE 69.1 PARKS HIGHWAYWillow, AK 99688-0349

Mailing AddressPo Box 241769Anchorage, AK 99524-1769 · (907) 770-2301 · Fax (907) 770-2325

Phone(907) 495-4362

Fax(907) 495-4363

Organization SubpartNo

Authorized OfficialJoseph E BeatyBilling Agent · (907) 770-2301

Enumeration DateMarch 23, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1982721981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

MILE 69.1 PARKS HIGHWAY, Willow, AK 99688

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Other Names 1

Doing Business AsHeart Of Willow Medical Clinic

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

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) 02D1025900

Heart Of Willow Medical Clinic · Willow, AK

Active · expires May 19, 2028

CLIA Number02D1025900

Laboratory TypeCommunity Clinic

Certificate Effective DateMay 20, 2026

Certificate Expiration DateMay 19, 2028

Laboratory DirectorJose Primo N. Anzilotti

Laboratory Phone(907) 495-4362

Laboratory LocationHeart Of Willow Medical ClinicMile 69,1 Old Parks Hwy, Willow, AK 99688

CLIA data matches this NPI record on: 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

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

SHARON L HART PA-C

Physician Assistant

MILE 69.1 PARKS HIGHWAY
WILLOW, AK 99688

Matanuska-Susitna Borough (907) 495-4362

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 Jose Primo N Anzilotti's NPI number?

The NPI number for Jose Primo N Anzilotti is 1982721981. It was assigned to this organization in the NPPES registry on March 23, 2007. The provider is doing business as Heart Of Willow Medical Clinic.

Where is Jose Primo N Anzilotti located?

Jose Primo N Anzilotti is located at Mile 69.1 Parks Highway, Willow, AK 99688. The listed phone number is (907) 495-4362.

What is Jose Primo N Anzilotti's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Jose Primo N Anzilotti hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 02D1025900) is associated with this NPI, valid through May 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jose Primo N Anzilotti was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.