Provider Demographics
NPI:1336451780
Name:ALASKA CENTER FOR NATURAL HEALTH
Entity Type:Organization
Organization Name:ALASKA CENTER FOR NATURAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:B
Authorized Official - Last Name:BEDDOW
Authorized Official - Suffix:
Authorized Official - Credentials:L AC
Authorized Official - Phone:907-260-7878
Mailing Address - Street 1:PO BOX 4143
Mailing Address - Street 2:
Mailing Address - City:SOLDOTNA
Mailing Address - State:AK
Mailing Address - Zip Code:99669-4143
Mailing Address - Country:US
Mailing Address - Phone:907-260-7878
Mailing Address - Fax:907-260-3905
Practice Address - Street 1:36800 KENDANEMKEN ROAD
Practice Address - Street 2:
Practice Address - City:SOLDOTNA
Practice Address - State:AK
Practice Address - Zip Code:99669
Practice Address - Country:US
Practice Address - Phone:907-260-7878
Practice Address - Fax:907-260-3905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-13
Last Update Date:2010-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty