ALPHA OMEGA LIFE CARE INC. NPI 1003961715

NPI Information

NPI: 1003961715
Provider Name: ALPHA OMEGA LIFE CARE, INC.
Classification: Voluntary or Charitable - 251V00000X
Entity Type: Organization
Address:
2415 RAPIDS ST.
DELTA JUNCTION, AK
ZIP 99737
Phone: (907) 895-4104
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ALPHA OMEGA LIFE CARE, INC. is a voluntary or charitable in Delta Junction, AK. ALPHA OMEGA LIFE CARE, INC. NPI is 1003961715. The provider is registered as an organization entity type.

The provider's business location address is:

2415 RAPIDS ST.
DELTA JUNCTION, AK
ZIP 99737-009
Phone: (907) 895-4104
Fax: (907) 895-4143

The provider's authorized official is Kenneth Edward Farrow .
The authorized official title is Executive Director and has the following contact phone number (907) 895-4104.

The enumeration date for this NPI number is 1/24/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251V00000X	Voluntary or Charitable		714589	ALASKA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	CM2942	MEDICAID	ALASKA
2	PCG942	MEDICAID	ALASKA
3	CM3228	MEDICAID	ALASKA
4	TX2942	MEDICAID	ALASKA
5	CMG294	MEDICAID	ALASKA
6	CM7341	MEDICAID	ALASKA
7	CM2943	MEDICAID	ALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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