Cottonwood Creek Clinic LLC
NPI 1134523855ActiveOrganization· Internal Medicine· Wasilla, AK
Internal Medicine in Wasilla, Alaska, registered in NPPES in October 2014. The authorized official on file is Richard Blake, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1134523855 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 9, 2014 |
| Last updated in NPPES | Mar 7, 2023 |
| Certified by provider | Feb 14, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 1011473 | AK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AK) |
|---|
Other Internal Medicine providers in Wasilla
- 1134133499
- 1376213207
- 1114958881
- 1962705202
- 1861437311
- 1316289176
- 1881621860
- 1427133958
- 1578110011
- 1124081211
- 1982666137
- 1578522694