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Contact Information

ALPHA OMEGA LIFE CARE, INC.
2415 RAPIDS ST.
DELTA JUNCTION, AK99737-1009
 Phone: 907-895-4104
 Fax: 907-895-4143
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Voluntary or Charitable

251V00000X 61 Voluntary Health or Charitable Agency[1]
Indicates primary specialty

NPI Profile & details for ALPHA OMEGA LIFE CARE, INC.

NPI # 1003961715
LBN Legal business name ALPHA OMEGA LIFE CARE, INC.
Authorized official KENNETH FARROW - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/24/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
AK License # 714589
AK Medicaid CM2942
AK Medicaid CM2943
AK Medicaid CM3228
AK Medicaid CM7341
AK Medicaid CMG294
AK Medicaid PCG942
AK Medicaid TX2942
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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