Provider Demographics
NPI:1417616384
Name:ALASKA SLEEP SOLUTIONS LLC
Entity Type:Organization
Organization Name:ALASKA SLEEP SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SLEEP COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:JILL
Authorized Official - Middle Name:
Authorized Official - Last Name:MOODY
Authorized Official - Suffix:
Authorized Official - Credentials:RDA
Authorized Official - Phone:615-278-6003
Mailing Address - Street 1:2069 DUKE DR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-4551
Mailing Address - Country:US
Mailing Address - Phone:615-278-6003
Mailing Address - Fax:907-563-6094
Practice Address - Street 1:3401 DENALI ST STE 201
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-4001
Practice Address - Country:US
Practice Address - Phone:615-278-6003
Practice Address - Fax:907-563-6094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-08
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized EquipmentGroup - Multi-Specialty