<Unavail>
LBN: Denali Mesa Corporation
<Unavail> is an health care organization with primary practice located at 907 E Dowling Rd Ste 26, Anchorage AK 99518-1424. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty.
Denali Mesa Corporation can be contacted via phone (907) 258-8618, or through Kinnebrew, Patrick via phone (907) 258-8618.
Contact Information
Primary practice address
907 E Dowling Rd Ste 26
Anchorage AK 99518-1424
Phone: (907) 258-8618
Fax: (907) 563-9291
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | Alaska | |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X |
Profile Details
| NPI number | 1932266228 |
|---|---|
| LBN Legal business name | Denali Mesa Corporation |
| DBA Doing business as | <Unavail> |
| Authorized official | Kinnebrew, Patrick |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 3rd, 2007 |
| Last updated | Jul 16th, 2008 - about 18 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932266228 | NPPES |
| Alaska | MEDICAID | TC6852 | |
| Alaska | MEDICAID | PT1442 | |
| Alaska | MEDICAID | OT1479 | |
| Alaska | Other | 193978501 | |
| Alaska | Other | 193978502 | |
| Alaska | MEDICAID | TC6851 | |
| Alaska | MEDICAID | PT95101 | |
| Alaska | Other | 193978503 |
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