Healthcare Provider Details

I. General information

NPI: 1336803303
Provider Name (Legal Business Name): ALASKA MOBILITY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2021
Last Update Date: 03/14/2022
Certification Date: 03/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 E 9TH AVENUE
ANCHORAGE AK
99501
US

IV. Provider business mailing address

720 E 9TH AVENUE
ANCHORAGE AK
99501
US

V. Phone/Fax

Practice location:
  • Phone: 907-244-3550
  • Fax: 907-373-4050
Mailing address:
  • Phone: 907-244-3550
  • Fax: 907-373-4050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code171WV0202X
TaxonomyVehicle Modifications Contractor
License Number
License Number StateNULL

VIII. Authorized Official

Name: PATRICK S DELIA
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 907-244-3550