Provider Demographics
NPI:1861688236
Name:SLEEP MEDICINE ALASKA, LLC
Entity type:Organization
Organization Name:SLEEP MEDICINE ALASKA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:HANNA
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:907-261-3650
Mailing Address - Street 1:2440 E TUDOR RD
Mailing Address - Street 2:PMB 185
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99507-1185
Mailing Address - Country:US
Mailing Address - Phone:907-746-6962
Mailing Address - Fax:907-746-6961
Practice Address - Street 1:3200 PROVIDENCE DR
Practice Address - Street 2:SLEEP DISRODER CENTER MED CENTER
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-4615
Practice Address - Country:US
Practice Address - Phone:907-261-3650
Practice Address - Fax:907-261-4810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-19
Last Update Date:2008-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1285261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKMD12851Medicaid
152502Medicare PIN
AKMD12851Medicaid