Healthcare Provider Details

I. General information

NPI: 1326749169
Provider Name (Legal Business Name): ALASKA YELLOW DISPATCH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2023
Last Update Date: 03/16/2023
Certification Date: 03/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6707 GREENWOOD ST
ANCHORAGE AK
99518-1974
US

IV. Provider business mailing address

PO BOX 231110
ANCHORAGE AK
99523-1110
US

V. Phone/Fax

Practice location:
  • Phone: 907-222-2243
  • Fax: 907-222-2244
Mailing address:
  • Phone: 907-222-2243
  • Fax: 907-222-2244

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State

VIII. Authorized Official

Name: ROLANDO M TORRALBA
Title or Position: GENERAL MANAGER / MEMBER
Credential:
Phone: 907-222-2243