Organization
ALASKA INDEPENDENT CARE COORDINATION
Active
Other names
AK ICC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHERYL ELAINE HOWDYSHELL (ADMINISTRATOR)
(907) 748-0886
Entity
Organization
Contact information
Practice address
12001 WOODWAY CIR, ANCHORAGE, AK 99516-2048
(907) 748-0886
(907) 748-0886
Mailing address
12001 WOODWAY CIR, ANCHORAGE, AK 99516-2048
(907) 748-0886
(907) 748-0886
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
1042063
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598085292
—
AK
Enumeration date
09/13/2016
Last updated
09/13/2016
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