Provider Demographics
NPI:1114259066
Name:RAPID RECOVERY MEDICAL SERVICE
Entity Type:Organization
Organization Name:RAPID RECOVERY MEDICAL SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:MASON
Authorized Official - Last Name:ONEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-562-7273
Mailing Address - Street 1:4100 LAKE OTIS PKWY STE 330
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-5232
Mailing Address - Country:US
Mailing Address - Phone:907-562-7273
Mailing Address - Fax:907-562-3525
Practice Address - Street 1:4100 LAKE OTIS PKWY STE 330
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-5232
Practice Address - Country:US
Practice Address - Phone:907-562-7273
Practice Address - Fax:907-562-3525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-03
Last Update Date:2017-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK938016332B00000X
AK980333332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKMS0024Medicaid
AKMS0024Medicaid