Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
ALASKAN SOURDOUGH ENTERPRISES
Active
Organization
ALASKAN SOURDOUGH ENTERPRISES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT MALONE JOHNSON (OWNER)
(907) 335-0559
Entity
Organization
Contact information
Practice address
225 PHILLIPS DR, KENAI, AK 99611-8447
(907) 335-0559
Mailing address
225 PHILLIPS DR., KENAI, AK 99611-8447
(907) 335-0559
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
925679
AK
Other
Enumeration date
04/01/2010
Last updated
04/01/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers