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St. Bernadette Alh, Llc

NPI Registration Record

Provider / OrganizationNPIDate Certified
ST. BERNADETTE ALH, LLC13660691222020-06-28
Other Names:
Entity TypeOrganization
Provider OrganizationST. BERNADETTE ALH, LLC
Practice Office Address8211 MAJESTIC DR
ANCHORAGE, AK US
Practice Office Telephone9073389588
Mailing Address8211 MAJESTIC DR
ANCHORAGE, AK 995044702 US
Business Telephone9073389588
Authorized OfficialDIONISIO PENTECOSTES, OWNER
9078309169
Contact Endpoints
CONNECT URL [Anchorage]AnchorageHealth Information Exchange (HIE)
HPT Codes
CodeLicense NoState
310400000X PRIMARY
OPI Codes
Governmental Registrations [CAGE/NCAGE/DUNS]

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