Provider Demographics
NPI:1700558582
Name:MOBILITY SOLUTIONS OF ALASKA
Entity Type:Organization
Organization Name:MOBILITY SOLUTIONS OF ALASKA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:HEIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-982-9226
Mailing Address - Street 1:PO BOX 922
Mailing Address - Street 2:
Mailing Address - City:PALMER
Mailing Address - State:AK
Mailing Address - Zip Code:99645-0922
Mailing Address - Country:US
Mailing Address - Phone:907-982-9226
Mailing Address - Fax:
Practice Address - Street 1:1051 E BOGARD RD STE 6
Practice Address - Street 2:
Practice Address - City:WASILLA
Practice Address - State:AK
Practice Address - Zip Code:99654-7174
Practice Address - Country:US
Practice Address - Phone:907-521-7101
Practice Address - Fax:907-521-7109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-30
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty