Provider Demographics
NPI:1932584562
Name:BEACON OCCUPATIONAL HEALTH SAFETY SERVICES
Entity type:Organization
Organization Name:BEACON OCCUPATIONAL HEALTH SAFETY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING AGENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:BEATY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-770-2380
Mailing Address - Street 1:800 CORDOVA ST
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99501-3717
Mailing Address - Country:US
Mailing Address - Phone:907-222-7612
Mailing Address - Fax:907-222-6976
Practice Address - Street 1:# 1 SPINE ROAD
Practice Address - Street 2:
Practice Address - City:PRUDHOE BAY
Practice Address - State:AK
Practice Address - Zip Code:99734
Practice Address - Country:US
Practice Address - Phone:907-659-2699
Practice Address - Fax:907-222-6976
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-24
Last Update Date:2015-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center