NPIMap

Organization Active NPI

Premier Independent Care Coordination

  • Case Management Agency
  • Anchorage, AK
National Provider Identifier
1952775538
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
1023743 Issued in AK
Legal business name
PREMIER INDEPENDENT CARE COORDINATION
Practice address
741 N Bragaw St
Anchorage, AK 99508-1320
Phone
(907) 538-7376
NPI assigned
Nov 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

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

Authorized official

Name
Daslie E MooreNPI 1376932210
Title
Owner
Phone
(907) 538-7376

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 1023743 AK Primary

Addresses

Primary practice location

741 N Bragaw St
Anchorage, AK 99508-1320

Mailing address

741 N Bragaw St
Anchorage, AK 99508-1320
Phone (907) 538-7376

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447891200000",
    "number": "1952775538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 N BRAGAW ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995081320",
            "telephone_number": "907-538-7376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 N BRAGAW ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995081320",
            "telephone_number": "907-538-7376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER INDEPENDENT CARE COORDINATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-19",
        "last_updated": "2015-11-19",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "DASLIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-538-7376"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "AK",
            "license": "1023743",
            "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 Nov 19, 2015; 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.