Provider Demographics
NPI:1316104482
Name:ALASKAN NATURAL CARE, INC.
Entity type:Organization
Organization Name:ALASKAN NATURAL CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST, CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:DELAUNE
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:907-435-7060
Mailing Address - Street 1:9693 NORTH LITTLE OTTER DRIVE
Mailing Address - Street 2:
Mailing Address - City:PALMER
Mailing Address - State:AK
Mailing Address - Zip Code:99645
Mailing Address - Country:US
Mailing Address - Phone:907-435-7060
Mailing Address - Fax:
Practice Address - Street 1:2090 E PALMER WASILLA HWY
Practice Address - Street 2:
Practice Address - City:WASILLA
Practice Address - State:AK
Practice Address - Zip Code:99654-7204
Practice Address - Country:US
Practice Address - Phone:907-435-7060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-16
Last Update Date:2016-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK48261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service