Healthcare Provider Details

I. General information

NPI: 1871754473
Provider Name (Legal Business Name): LIFEMED ALASKA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2008
Last Update Date: 02/18/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3838 W 50TH AVE
ANCHORAGE AK
99502-0903
US

IV. Provider business mailing address

6320 S AIRPARK PL
ANCHORAGE AK
99502-1818
US

V. Phone/Fax

Practice location:
  • Phone: 907-563-6633
  • Fax: 907-563-6636
Mailing address:
  • Phone: 907-563-6633
  • Fax: 907-563-6636

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number4300
License Number StateAK
# 2
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3416A0800X
TaxonomyAir Ambulance
License Number915056
License Number StateAK
# 4
Primary TaxonomyN
Taxonomy Code3416A0800X
TaxonomyAir Ambulance
License Number6300
License Number StateAK
# 5
Primary TaxonomyN
Taxonomy Code3416A0800X
TaxonomyAir Ambulance
License Number9300
License Number StateAK
# 6
Primary TaxonomyN
Taxonomy Code3416A0800X
TaxonomyAir Ambulance
License Number4300
License Number StateAK
# 7
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number3300
License Number StateAK
# 8
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number3200
License Number StateAK
# 9
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number3305
License Number StateAK
# 10
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number3220
License Number StateAK

VIII. Authorized Official

Name: MRS. GRACE GREENE
Title or Position: CEO
Credential:
Phone: 907-249-8451