Alaska Medical Services Inc.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

882 Issued in AK

Legal business name

ALASKA MEDICAL SERVICES INC.

Practice address

2240 Paxson Dr Unit 1
Anchorage, AK 99504-3412

Phone

(907) 280-9787

Fax

(888) 308-8916

NPI assigned

Nov 16, 2015

Last updated

Nov 16, 2015By 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

Gregory Scott Hackenbruch, PA-C

Title

President

Phone

(907) 903-4844

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447632000000",
    "number": "1972977866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 PAXSON DR UNIT 1",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995043412",
            "telephone_number": "907-280-9787",
            "fax_number": "888-308-8916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 PAXSON DR UNIT 1",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995043412",
            "telephone_number": "907-280-9787",
            "fax_number": "888-308-8916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALASKA MEDICAL SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-16",
        "last_updated": "2015-11-16",
        "status": "A",
        "authorized_official_last_name": "HACKENBRUCH",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-903-4844",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alaska Medicare Clinic, Inc
• Alaska Mental Fitness, LLC
• Alaska Mobility Transit LLC

• Physician Assistant in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Physician Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.