Provider Demographics
NPI:1902857105
Name:ALYESKA INTERNATIONAL, INC
Entity Type:Organization
Organization Name:ALYESKA INTERNATIONAL, INC
Other - Org Name:ALASKA SLEEP CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:FAITH
Authorized Official - Middle Name:M
Authorized Official - Last Name:ALLARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-420-0540
Mailing Address - Street 1:3920 LAKE OTIS PKWY, STE 1
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508
Mailing Address - Country:US
Mailing Address - Phone:907-770-9104
Mailing Address - Fax:907-770-8965
Practice Address - Street 1:3920 LAKE OTIS PARKWAY, STE 1
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508
Practice Address - Country:US
Practice Address - Phone:907-770-9104
Practice Address - Fax:907-770-8965
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALYESKA INTERNATIONAL, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-12
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK1638633Medicaid
AK1638633Medicaid