C Care Medical Center LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

918565 Issued in AK

Legal business name

C CARE MEDICAL CENTER LLC

Practice address

2110 E Northern Lights Blvd
Suite 101
Anchorage, AK 99508-4154

Phone

(907) 563-5002

NPI assigned

Aug 19, 2008

Organization subpart

No

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

Authorized official

Name

Cecilia De Leon

Title

Owner

Phone

(907) 563-5002

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343088000000",
    "number": "1942457288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 E NORTHERN LIGHTS BLVD",
            "address_2": "SUITE 101",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084154",
            "telephone_number": "907-563-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 E NORTHERN LIGHTS BLVD",
            "address_2": "SUITE 101",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084154",
            "telephone_number": "907-563-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C CARE MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2012-07-24",
        "status": "A",
        "authorized_official_last_name": "DE LEON",
        "authorized_official_first_name": "CECILIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-563-5002"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "AK",
            "license": "918565",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "AK",
            "license": "918565",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "918565",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PCG 291",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ian Byrd
• Katherine E Byrd, DO
• Monica L Byrd, LPC
• Meagan Byrne, DO
• Lien Thao Bytell
• C Care Medical Supply, LLC
• C Care Services LLC
• C Care Services, LLC
• C Care Services, LLC
• C Care Services, LLC

• Multi-Specialty Clinic/Center in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Multi-Specialty Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; 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.