# IMMEDIATE CARE, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902934300
- **Authorized official:** MIRASOL MIRASOL ISLA (DIRECTOR OF FINANCE)
- **Authorized official phone:** (907) 336-3365

## Contact information

- **Practice address:** 6311 DEBARR ROAD, ANCHORAGE, AK 99504
- **Practice address phone:** (907) 336-3365
- **Practice address fax:** (907) 929-5661
- **Mailing address:** PO BOX 103913, ANCHORAGE, AK 99510-3913
- **Mailing address phone:** (907) 336-3365
- **Mailing address fax:** (907) 929-5661

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251X00000X | Supports Brokerage Agency | 714562 | AK | Yes |
| 261QA0600X | Adult Day Care Clinic/Center | 714562 | AK | — |
| 385H00000X | Respite Care | 714562 | AK | — |

## Other

- **Enumeration date:** 02/28/2007
- **Last updated:** 05/14/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | CMG020 | — | AK |
| 05 | — | CMG472 | — | AK |
| 05 | — | HC0202 | — | AK |
| 05 | — | HC02021 | — | AK |
| 05 | — | HC02022 | — | AK |
| 05 | — | PCG201 | — | AK |
| 05 | — | PCG2021 | — | AK |
| 05 | — | PCG2031 | — | AK |