Provider Demographics
NPI:1437928801
Name:ALASKA FIRST ASSISTS, LLC
Entity Type:Organization
Organization Name:ALASKA FIRST ASSISTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ORGANIZER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:J
Authorized Official - Last Name:LALOR
Authorized Official - Suffix:
Authorized Official - Credentials:APRN, CRNFA
Authorized Official - Phone:850-207-2224
Mailing Address - Street 1:10988 SPLENDOR LOOP
Mailing Address - Street 2:
Mailing Address - City:EAGLE RIVER
Mailing Address - State:AK
Mailing Address - Zip Code:99577-8198
Mailing Address - Country:US
Mailing Address - Phone:850-207-2224
Mailing Address - Fax:
Practice Address - Street 1:10988 SPLENDOR LOOP
Practice Address - Street 2:
Practice Address - City:EAGLE RIVER
Practice Address - State:AK
Practice Address - Zip Code:99577-8198
Practice Address - Country:US
Practice Address - Phone:850-207-2224
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-27
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First AssistantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK1659719979Medicaid