Medevac Alaska LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

MEDEVAC ALASKA LLC

Practice address

6160 Carl Brady Dr
Anchorage, AK 99502-1801

Phone

(907) 310-9001

NPI assigned

Feb 21, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kip Fanning

Title

President

Phone

(907) 310-9001

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1588165070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190044",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995190044",
            "telephone_number": "907-310-9001",
            "fax_number": "877-985-5022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 CARL BRADY DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995021801",
            "telephone_number": "907-310-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEVAC ALASKA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-21",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "FANNING",
        "authorized_official_first_name": "KIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-310-9001"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aiga Meauli
• Renee Meaux, PTA
• Emily Patricia Mechtenberg, LPC
• Alexander Medeiros, RN
• Medevac Alaska LLC
• Medical Equipment Distributors of Alaska, Inc. (MEDAK, Inc.)
• Medical Network of Alaska, LLC (Alaska Advanced Dermatology)
• Medical Network of Alaska, LLC (Alaska Fracture and Orthopedic Clinic)
• Medical Network of Alaska, LLC (Alaska Fracture and Orthopedic Clinic)
• Medical Network of Alaska, LLC (Resound ENT)

• Land Ambulance in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Land Ambulance in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.