Provider Demographics
NPI:1861450629
Name:THE ALASKA MULTIPLE SCLEROSIS CENTER, INC.
Entity Type:Organization
Organization Name:THE ALASKA MULTIPLE SCLEROSIS CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:VICKIE
Authorized Official - Middle Name:I
Authorized Official - Last Name:DODGE-PAMPLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-929-2567
Mailing Address - Street 1:3500 LATOUCHE ST
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-4261
Mailing Address - Country:US
Mailing Address - Phone:907-929-2567
Mailing Address - Fax:907-929-2922
Practice Address - Street 1:3500 LATOUCHE ST
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-4261
Practice Address - Country:US
Practice Address - Phone:907-929-2567
Practice Address - Fax:907-929-2922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK435487261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center