NPIMap

Organization Active NPI

Alyeska International Inc.

Doing business as Alaska Sleep Clinic

  • Sleep Disorder Diagnostic Clinic/Center
  • Soldotna, AK
National Provider Identifier
1790063154
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
ALYESKA INTERNATIONAL INC.
Doing business as
Alaska Sleep Clinic
Practice address
588 Pace Street
Soldotna, AK 99669
Phone
(907) 420-0540
Fax
(907) 420-0541
NPI assigned
Aug 2, 2011
Last updated
Feb 27, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
ALYESKA INTERNATIONAL, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Authorized official

Name
Faith M Allard
Title
Executive Director / Secretary
Phone
(907) 420-0540

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

588 Pace Street
Soldotna, AK 99669

Mailing address

588 Pace Street
Soldotna, AK 99669
Phone (907) 420-0540

Other identifiers 1

IdentifierTypeStateIssuer
1638651MedicaidAK

Other names 1

  • Alaska Sleep Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160308001288 AK Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1052625860 Practice locations: Soldotna, AK

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Alaska International Inc5 organizations share this tax ID, including this one
Part of
Alaska International Inc

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708992000000",
    "number": "1790063154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "588 PACE STREET",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "99669",
            "telephone_number": "907-420-0540",
            "fax_number": "907-420-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "588 PACE STREET",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "99669",
            "telephone_number": "907-420-0540",
            "fax_number": "907-420-0541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALYESKA INTERNATIONAL INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALYESKA INTERNATIONAL, INC.",
        "enumeration_date": "2011-08-02",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A",
        "authorized_official_last_name": "ALLARD",
        "authorized_official_first_name": "FAITH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR / SECRETARY",
        "authorized_official_telephone_number": "907-420-0540"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1638651",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alaska Sleep Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Soldotna, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.