Healthcare Provider Details

I. General information

NPI: 1164536058
Provider Name (Legal Business Name): TRANSCARE MEDICAL SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2006
Last Update Date: 11/07/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

521 W 41ST AVE SUITE 101
ANCHORAGE AK
99503-6635
US

IV. Provider business mailing address

521 W 41ST AVE SUITE 101
ANCHORAGE AK
99503
US

V. Phone/Fax

Practice location:
  • Phone: 907-562-3534
  • Fax: 907-563-8557
Mailing address:
  • Phone: 907-562-3534
  • Fax: 907-563-8557

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number62242
License Number StateAK

VIII. Authorized Official

Name: MS. SAMANTHA M JEDLICKI
Title or Position: PRESIDENT
Credential:
Phone: 907-562-3534