Veteran Affiairs
NPI 1558706440ActiveOrganization· Clinic/Center, VA· Wasilla, AK
Clinic/Center, VA in Wasilla, Alaska, registered in NPPES in May 2013. The authorized official on file is Emily Brooke Boucher, Pharmacy Tech.
Overview
| NPI | 1558706440 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 6, 2013 |
| Last updated in NPPES | May 6, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center, VA Primary | 261QV0200X | 587 | 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Clinic/Center, VA providers in Wasilla
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