MEDICARE: THREE BEARS ALASKA INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	333600000X	Pharmacy
3	3336C0003X	Community/Retail Pharmacy	1222	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2052608	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851424246
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THREE BEARS ALASKA INC

Provider Business Mailing Address
First Line	:	7362 W PARKS HWY
Second Line	:	BOX 814
City	:	WASILLA
State	:	AK
Zip	:	99623-9300
Country	:	US
Telephone Number	:	907-357-4311
Fax Number	:	907-357-4312

Provider Business Practice Location Address
First Line	:	45 THREE BEARS DR
Second Line	:
City	:	BUTTE
State	:	MT
Zip	:	59701
Country	:	US
Telephone Number	:	406-494-4116
Fax Number	:	406-494-4486

Authorized Official
Title or Position	:	PRESIDENT
Name	:	PAUL SONNENBERG
Credential	:
Telephone Number	:	907-357-4311

Provider Enumeration Date	:	03/14/2007
Last Update Date	:	12/10/2025

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Directions to “THREE BEARS ALASKA INC ” Practice Location

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