Alaska Independent Care Coordination

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

1042063 Issued in AK

Legal business name

ALASKA INDEPENDENT CARE COORDINATION

Practice address

12001 Woodway Cir
Anchorage, AK 99516-2048

Phone

(907) 748-0886

Fax

(907) 748-0886

NPI assigned

Sep 13, 2016

Last updated

Sep 13, 2016By 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

Ms. Cheryl Elaine Howdyshell

Title

Administrator

Phone

(907) 748-0886

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• AK ICC Other name

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

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473724800000",
    "number": "1659829117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12001 WOODWAY CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995162048",
            "telephone_number": "907-748-0886",
            "fax_number": "907-748-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12001 WOODWAY CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995162048",
            "telephone_number": "907-748-0886",
            "fax_number": "907-748-0886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALASKA INDEPENDENT CARE COORDINATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-13",
        "last_updated": "2016-09-13",
        "status": "A",
        "authorized_official_last_name": "HOWDYSHELL",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-748-0886",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "AK",
            "license": "1042063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598085292",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AK ICC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Case Management Agency in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Case Management Agency in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; 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.