Provider Demographics
NPI:1093519910
Name:DENALI HEALTHCARE SPECIALISTS
Entity type:Organization
Organization Name:DENALI HEALTHCARE SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-398-8736
Mailing Address - Street 1:2421 E TUDOR RD STE 103
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99507-1166
Mailing Address - Country:US
Mailing Address - Phone:907-770-5864
Mailing Address - Fax:907-770-5868
Practice Address - Street 1:1867 AIRPORT WAY STE 120
Practice Address - Street 2:
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99701-4054
Practice Address - Country:US
Practice Address - Phone:907-770-5864
Practice Address - Fax:907-770-5868
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DENALI HEALTHCARE SPECIALISTS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty