Provider Demographics
NPI:1427371483
Name:ALEUTIAN PRIBILOF ISLANDS ASSOCIATION, INC.
Entity Type:Organization
Organization Name:ALEUTIAN PRIBILOF ISLANDS ASSOCIATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DIMITRI
Authorized Official - Middle Name:
Authorized Official - Last Name:PHILEMONOF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-276-2700
Mailing Address - Street 1:1131 E INTERNATIONAL AIRPORT RD
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99518-1408
Mailing Address - Country:US
Mailing Address - Phone:907-276-2700
Mailing Address - Fax:907-276-4279
Practice Address - Street 1:1131 E INTERNATIONAL AIRPORT RD
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99518-1408
Practice Address - Country:US
Practice Address - Phone:907-276-2700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-04
Last Update Date:2010-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care