Interior Medical Supply

LBN: Interior Medical Supply Llc
Interior Medical Supply is an health care organization with primary practice located at 915 30Th Ave Ste 106, Fairbanks AK 99701-7577. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Interior Medical Supply Llc can be contacted via phone (907) 457-8486, or through Ingraham, Tracy Lynn via phone (907) 457-8486.

Contact Information

Primary practice address
915 30Th Ave Ste 106 Fairbanks AK 99701-7577
Phone: (907) 457-8486
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ingraham, Tracy Lynn
Phone: (907) 457-8486

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 304642 Alaska

Profile Details

NPI number 1295805810
LBN Legal business name Interior Medical Supply Llc
DBA Doing business as Interior Medical Supply
Authorized official Ingraham, Tracy Lynn
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2006
Last updated Jun 2nd, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295805810 NPPES
Alaska MEDICAID MS3444

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