Organization
IMMEDIATE CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN RICHARDSON (OWNER)
(907) 336-3365
Entity
Organization
Contact information
Practice address
6311 DEBARR RD STE L, ANCHORAGE, AK 99504-1777
(907) 336-3365
(907) 336-3397
Mailing address
6311 DEBARR RD STE L, ANCHORAGE, AK 99504-1777
(907) 336-3365
(907) 336-3397
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902934300
—
AK
Enumeration date
11/08/2011
Last updated
11/08/2011
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