Provider Demographics
NPI:1437630035
Name:SAVAGE COOK, ROSEMARIE LYNN (BHA I)
Entity Type:Individual
Prefix:
First Name:ROSEMARIE
Middle Name:LYNN
Last Name:SAVAGE COOK
Suffix:
Gender:F
Credentials:BHA I
Other - Prefix:
Other - First Name:ROSEMARIE
Other - Middle Name:LYNN
Other - Last Name:SAVAGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BHA I
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:907-222-4279
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
Practice Address - Country:US
Practice Address - Phone:907-276-2700
Practice Address - Fax:907-222-4279
Is Sole Proprietor?:No
Enumeration Date:2018-08-22
Last Update Date:2021-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK18131172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker