Organization
ALPENVIEW MEDICAL SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN L KANE (SOLE PROPRIETOR)
(907) 357-0458
Entity
Organization
Contact information
Practice address
2180 YUKON CIR., WASILLA, AK 99654
(907) 357-0458
Mailing address
PO BOX 870458, WASILLA, AK 99687-0458
(907) 357-0458
(907) 357-0468
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
409540
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMG768
—
AK
Enumeration date
03/26/2007
Last updated
06/17/2008
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