Interior Mobility Systems, LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

309899 Issued in AK

Legal business name

INTERIOR MOBILITY SYSTEMS, LLC

Doing business as

Ims

Practice address

615 23Rd Ave
Fairbanks, AK 99701-7026

Phone

(907) 457-8486

Fax

(907) 457-8488

NPI assigned

Dec 12, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James Lee Ingraham

Title

Operations Manager

Phone

(907) 457-8486

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• IMS Doing business as

Tax ID family

Ims2 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.

• Interior Mobility Systems LLC

  • Contractor
  • Fairbanks, AK
  • NPI 1184755720
  NPD tax ID

Locations

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487715629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 23RD AVE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997017026",
            "telephone_number": "907-457-8486",
            "fax_number": "907-457-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 23RD AVE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997017026",
            "telephone_number": "907-457-8486",
            "fax_number": "907-457-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERIOR MOBILITY SYSTEMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "INGRAHAM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "907-457-8486",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "AK",
            "license": "309899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MS6628",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ironlight Behavioral Health Services, LLC

• Customized Equipment (DME) in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Customized Equipment (DME) in Alaska

• 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.