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NPI Code Detail

MEDICARE: CARE CENTER ANCHORAGE INC.

MEDICARE: CARE CENTER ANCHORAGE 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
1314000000XSkilled Nursing FacilityAK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1801021290
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARE CENTER ANCHORAGE INC.
Provider Business Mailing Address
First Line : 7700 NE PARKWAY DR
Second Line : SUITE 300
City : VANCOUVER
State : WA
Zip : 98662-6648
Country : US
Telephone Number : 360-735-7155
Fax Number : 360-735-9416
Provider Business Practice Location Address
First Line : 9100 CENTENNIAL CIR
Second Line :
City : ANCHORAGE
State : AK
Zip : 99504-1480
Country : US
Telephone Number : 907-333-8100
Fax Number : 907-338-6789
Authorized Official
Title or Position : PRESIDENT/CEO
Name : MR. HAROLD G DELAMARTER
Credential :
Telephone Number : 360-735-7155
Provider Enumeration Date : 05/28/2009
Last Update Date : 10/01/2013

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