MEDICARE: ANCHORAGE MEDICAL SERVICES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QU0200X	Urgent Care Clinic/Center	1023175	AK

General Provider Information

NPI Number	:	1710358809
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANCHORAGE MEDICAL SERVICES, INC

Provider Business Mailing Address
First Line	:	3705 ARCTIC BLVD # 325
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99503-5774
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3401 MINNESOTA DR STE 100
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99503-3684
Country	:	US
Telephone Number	:	907-677-9200
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DARIUS DAVIS
Credential	:	M.D.
Telephone Number	:	907-677-9200

Provider Enumeration Date	:	10/14/2015
Last Update Date	:	02/05/2016

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