NPIMap

Organization Active NPI

Prime Care Inc.

  • Supports Brokerage Agency
  • Anchorage, AK
National Provider Identifier
1205050697
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Supports Brokerage AgencyTaxonomy code 251X00000X
License
PCG134 Issued in AK
Legal business name
PRIME CARE INC.
Practice address
3701 East Tudor Rd
Suite 204
Anchorage, AK 99508
Phone
(907) 333-4023
Fax
(907) 337-2079
NPI assigned
Apr 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Ganiyu Shittu
Title
Director
Phone
(907) 333-4023

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Supports Brokerage Agency 251X00000X PCG134 AK Primary

Addresses

Primary practice location

3701 East Tudor Rd
Suite 204
Anchorage, AK 99508

Mailing address

3701 E Tudor Rd
Suite 204
Anchorage, AK 99508
Phone (907) 333-4023

National Provider Directory

National Provider Directory
Tax ID family
Prime Care Inc Mat-Su2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3701 E Tudor Rd
Ste 204
Anchorage, AK 99507
Phone (907) 333-4023

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205050697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 E TUDOR RD",
            "address_2": "SUITE 204",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99508",
            "telephone_number": "907-333-4023",
            "fax_number": "907-337-2079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 EAST TUDOR RD",
            "address_2": "SUITE 204",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99508",
            "telephone_number": "907-333-4023",
            "fax_number": "907-337-2079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHITTU",
        "authorized_official_first_name": "GANIYU",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "907-333-4023",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": "AK",
            "license": "PCG134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.