Provider Demographics
NPI:1225329543
Name:ALASKA MOBILITY, LLC
Entity Type:Organization
Organization Name:ALASKA MOBILITY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:SIDNEY
Authorized Official - Last Name:DELIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-244-3550
Mailing Address - Street 1:5515 E FIREWEED RD
Mailing Address - Street 2:
Mailing Address - City:PALMER
Mailing Address - State:AK
Mailing Address - Zip Code:99645-8456
Mailing Address - Country:US
Mailing Address - Phone:907-244-3550
Mailing Address - Fax:907-892-3510
Practice Address - Street 1:5515 E FIREWEED RD
Practice Address - Street 2:
Practice Address - City:PALMER
Practice Address - State:AK
Practice Address - Zip Code:99645-8456
Practice Address - Country:US
Practice Address - Phone:907-244-3550
Practice Address - Fax:907-892-3510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-20
Last Update Date:2011-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies