Provider Demographics
NPI:1750951059
Name:ALASKA MOBILITY TRANSIT LLC
Entity type:Organization
Organization Name:ALASKA MOBILITY TRANSIT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:
Authorized Official - Last Name:PORTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-290-9176
Mailing Address - Street 1:6051 BURLWOOD ST
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99507-2001
Mailing Address - Country:US
Mailing Address - Phone:907-290-9177
Mailing Address - Fax:
Practice Address - Street 1:6051 BURLWOOD ST
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99507-2001
Practice Address - Country:US
Practice Address - Phone:907-290-9177
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALASKA MOBILITY TRANSIT LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-06-29
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No171WV0202XOther Service ProvidersContractorVehicle ModificationsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY079646996OtherD-U-N-S NUMBER
AK441229OtherNAICS
AK446199OtherNAICS