Provider Demographics
NPI:1639814932
Name:STRATEGIC HEALTH AK LLC
Entity Type:Organization
Organization Name:STRATEGIC HEALTH AK LLC
Other - Org Name:STRATEGIC HEALTH AK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/FOUNDER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:SAVANAH
Authorized Official - Middle Name:
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-205-0290
Mailing Address - Street 1:PO BOX 92031
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99509-2031
Mailing Address - Country:US
Mailing Address - Phone:907-205-0290
Mailing Address - Fax:
Practice Address - Street 1:4220 TAHOE DR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99502-1460
Practice Address - Country:US
Practice Address - Phone:907-205-0290
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-02
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive MedicineGroup - Multi-Specialty
No2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Multi-Specialty