Healthcare Provider Details

I. General information

NPI: 1609584036
Provider Name (Legal Business Name): ALYESKA INTERNATIONAL INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2022
Last Update Date: 05/19/2025
Certification Date: 05/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

545 N KNIK ST STE C
WASILLA AK
99654-7022
US

IV. Provider business mailing address

588 PACE ST
SOLDOTNA AK
99669-7668
US

V. Phone/Fax

Practice location:
  • Phone: 907-357-6700
  • Fax: 907-357-6672
Mailing address:
  • Phone: 907-420-0540
  • Fax: 907-420-0541

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: FAITH M ALLARD
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 907-420-0540