NPI 1205259926

Northwest Independence Care LLC

Organisation Health Maintenance Organization Anchorage, AK

Practice location

Address: 2701 Kempton Hills Dr, Anchorage, AK 99516-2749
Phone: (907) 575-8501
Fax: (907) 644-0601
Mailing address: PO Box 110382, Anchorage, AK 99511-0382

Authorised official

Name: Mary Catherine Evans
Title: Care Coordinator Administrator
Phone: (907) 575-8501

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 987297 (AK)

Other Health Maintenance Organization providers in Alaska →

Registry record

NPI: 1205259926
Entity type: Organization
NPI issued: 31 Jan 2014
Record last updated: 31 Jan 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.