Provider Demographics
NPI:1124787163
Name:ALASKA CARE COORDINATION SERVICES LLC
Entity type:Organization
Organization Name:ALASKA CARE COORDINATION SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIANNE
Authorized Official - Middle Name:WHITLEY
Authorized Official - Last Name:PATTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-301-5589
Mailing Address - Street 1:2960 KIMBERLIE CT
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-5331
Mailing Address - Country:US
Mailing Address - Phone:907-301-5589
Mailing Address - Fax:907-646-1198
Practice Address - Street 1:2960 KIMBERLIE CT
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-5331
Practice Address - Country:US
Practice Address - Phone:907-301-5589
Practice Address - Fax:907-646-1198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-16
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty
No251B00000XAgenciesCase ManagementGroup - Single Specialty