Provider Demographics
NPI:1366074866
Name:ALASKA EHEALTH NETWORK
Entity type:Organization
Organization Name:ALASKA EHEALTH NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARYANA
Authorized Official - Middle Name:V
Authorized Official - Last Name:BOYCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-770-2626
Mailing Address - Street 1:4000 OLD SEWARD HWY STE 203
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503-6068
Mailing Address - Country:US
Mailing Address - Phone:907-770-2626
Mailing Address - Fax:
Practice Address - Street 1:4000 OLD SEWARD HWY STE 203
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-6068
Practice Address - Country:US
Practice Address - Phone:907-770-2626
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-12
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247000000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Health InformationGroup - Multi-Specialty