ALASKA SPECIALTY HOSPITAL, LLC (NPI# 1093979932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093979932 |
| Entity Type | Organization |
| Organization Name | ALASKA SPECIALTY HOSPITAL, LLC |
| Other Organization Name | ST ELIAS SPECIALTY HOSPITAL, LLC |
| Practice Address |
4800 Cordova St Anchorage AK 99503-7218 |
| Practice Telephone | 9075613333 |
| Practice Fax Number | 9075613332 |
| Mailing Telephone | 9075613333 |
| Mailing Fax Number | 9075613332 |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2018-11-28 |
| Authorized Official Name | MICAELA JONES (CEO) |
| Authorized Official Telephone | 9075642209 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 731462 | AK | Hospitals |
| Other Name | Type Code |
|---|---|
| ST ELIAS SPECIALTY HOSPITAL, LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912965021 | Alaska Specialty Hospital, LLC | Long Term Care Hospital | 4800 Cordova St, Anchorage, AK 99503-7218 | 2006-05-01 |
| 1861045445 | Alaska Specialty Hospital, LLC | Rehabilitation Unit | 4800 Cordova St, Anchorage, AK 99503-7218 | 2019-07-22 |
| Street Address |
4800 CORDOVA ST |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99503-7218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912965021 | Alaska Specialty Hospital, LLC | Long Term Care Hospital | 4800 Cordova St, Anchorage, AK 99503-7218 | 2006-05-01 |
| 1295340206 | Danielle Grimaldi | Pharmacist | 4800 Cordova St, Anchorage, AK 99503-7218 | 2020-09-15 |
| 1861045445 | Alaska Specialty Hospital, LLC | Rehabilitation Unit | 4800 Cordova St, Anchorage, AK 99503-7218 | 2019-07-22 |
| 1124548342 | Heather Leanne Keyes Rogers | Pharmacist | 4800 Cordova St, Anchorage, AK 99503-7218 | 2017-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020772 | Miladis Mcduffie | Massage Therapist | 1350 W. Northern Lights Blvd, Ste C, Anchorage, AK 99503 | 2020-10-15 |
| 1447804984 | Bethany Lynn Becker | Optometrist | 401 E. Northern Lights Blvd. Suite 102, Anchorage, AK 99503 | 2019-08-01 |
| 1265084933 | Carr-gottstein Foods Co | Durable Medical Equipment & Medical Supplies | 2920 Seward Hwy, Anchorage, AK 99503 | 2019-07-12 |
| 1982268942 | Rukiyia Smith | Behavior Technician | 205 E Northern Lights Blvd, Suite 110, Anchorage, AK 99503 | 2019-04-25 |
| 1245894310 | Mary Kathleen Tate | Specialist/Technologist | 205 E. Northern Lights Blvd, Suite 110, Anchorage, AK 99503 | 2019-04-24 |
| 1194295766 | Kimberly Sue Trent | Registered Nurse | 670 W. Fireweed Lane Suite 160, Anchorage, AK 99503 | 2018-11-27 |
| 1659869089 | Alaska Spine & Pain Center, LLC | Chiropractor | 3901 Old Seward Hwy Ste 11, Anchorage, AK 99503 | 2018-05-01 |
| 1235643123 | Rosanne Louise Klouda | Massage Therapist | 213 Fireweed Ln, Anchorage, AK 99503 | 2017-11-30 |
| 1801309042 | Online Care Group Alaska | General Practice | 200 W. 34th Ave, Anchorage, AK 99503 | 2017-11-09 |
| 1548773849 | Leslie K Michalski | Massage Therapist | 510 W Tudor Rd Ste 9, Anchorage, AK 99503 | 2017-11-08 |
| Find all providers in zip 99503 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518406347 | Patient Housing At Anmc | General Acute Care Hospital | 4001 Tudor Centre Drive, Anchorage, AK 99508-5932 | 2017-02-13 |
| 1801207980 | William Walker | General Acute Care Hospital | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2014-05-12 |
| 1023256989 | Southcentral Foundation | General Acute Care Hospital | 4320 Diplomacy Dr, Anchorage, AK 99508-5925 | 2009-01-30 |
| 1023290855 | Alaska Native Tribal Health Consortium | General Acute Care Hospital | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2007-12-04 |
| 1215128509 | Southcentral Foundation | General Acute Care Hospital | 4320 Diplomacy Dr, Anchorage, AK 99508-5925 | 2007-08-05 |
| 1245439082 | Alaska Native Tribal Health Consortium | General Acute Care Hospital | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2007-07-12 |
| 1265643696 | Southcentral Foundation Opt | General Acute Care Hospital | 4341 Tudor Centre Dr, Attn Sherry Reedy, Anchorage, AK 99508-5904 | 2007-05-25 |
| 1174734503 | Southcentral Foundation | General Acute Care Hospital | 4320 Diplomacy Dr, Anchorage, AK 99508-5925 | 2007-05-25 |
| 1083825418 | Southcentral Foundation Pdn | General Acute Care Hospital | 4155 Tudor Centre Dr Ste 103, Attn Sherry Reedy, Anchorage, AK 99508-5912 | 2007-05-25 |
| 1437368891 | Alaska Native Tribal Health Consortium | General Acute Care Hospital | 4315 Diplomacy Dr, Anchorage, AK 99508 | 2007-05-22 |
| Find all providers in ANCHORAGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.