Provider Demographics
NPI:1770672164
Name:ALASKA STAIRLIFT & ELEVATOR, LLC
Entity Type:Organization
Organization Name:ALASKA STAIRLIFT & ELEVATOR, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:DARCY
Authorized Official - Middle Name:JONISE
Authorized Official - Last Name:BENNETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-245-5438
Mailing Address - Street 1:1200 E 76TH AVE STE 1201
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99518-3219
Mailing Address - Country:US
Mailing Address - Phone:907-245-5438
Mailing Address - Fax:907-245-5439
Practice Address - Street 1:1200 E 76TH AVE STE 1201
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99518-3219
Practice Address - Country:US
Practice Address - Phone:907-245-5438
Practice Address - Fax:907-245-5439
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2024-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Multi-Specialty
No171W00000XOther Service ProvidersContractorGroup - Multi-Specialty
No171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Multi-Specialty
No171WV0202XOther Service ProvidersContractorVehicle ModificationsGroup - Multi-Specialty
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK1004134Medicaid
AK1021941Medicaid
AKMS7066Medicaid