Provider Demographics
NPI:1700569092
Name:TRUE NORTH HEALTH CENTER LLC
Entity type:Organization
Organization Name:TRUE NORTH HEALTH CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, NURSE PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:PARRISH
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:907-776-3661
Mailing Address - Street 1:51849 KENAI SPUR HWY UNIT B
Mailing Address - Street 2:
Mailing Address - City:KENAI
Mailing Address - State:AK
Mailing Address - Zip Code:99611-9269
Mailing Address - Country:US
Mailing Address - Phone:907-776-3661
Mailing Address - Fax:907-776-3662
Practice Address - Street 1:51849 KENAI SPUR HWY UNIT B
Practice Address - Street 2:
Practice Address - City:KENAI
Practice Address - State:AK
Practice Address - Zip Code:99611-9269
Practice Address - Country:US
Practice Address - Phone:907-776-3661
Practice Address - Fax:907-776-3662
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-11
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care