Organization · Type 2 NPI

Joseph C. Livengood, M.d., Prof. LLC

Emergency Care Clinic/Center · Fairbanks, AK

NPI number 1689247652 Active

Practice location

1979 Peger Rd
Fairbanks, AK 99709-5257

Call (907) 370-2533 Map

Mailing address

759 Haida Ln
Fairbanks, AK 99712-2925

Other practice locations

534 Ridge Rd, Nederland, CO 80466-9714 · (907) 370-2533
1513 Gaffney Rd, Fort Wainwright, AK 99703-1366 · (907) 370-2533
1541 Gaffney Rd, Fort Wainwright, AK 99703-1366 · (907) 370-2533

Specialties and licenses

Taxonomy	Code	License
Emergency Care Clinic/Center Primary	261QE0002X	None listed

Emergency Care Clinic/Center: Definition to come...

NPI record

NPI: 1689247652
Entity type: Organization (Type 2)
Issued: Jul 19, 2021
Last updated: Dec 1, 2021
Status: Active

Other names

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Joseph C Livengood, Md, PLLC · doing business as
Joseph C Livengood, Md, PLLC · doing business as

Authorized official

Joseph Livengood, MD
Member
(907) 370-2533

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1689247652

Joseph C. Livengood, M.d., Prof. LLC's National Provider Identifier is 1689247652, issued on Jul 19, 2021. The primary taxonomy on file is Emergency Care Clinic/Center (261QE0002X), and the practice location is in Fairbanks, AK. The record was last updated on Dec 1, 2021.