Provider Demographics
NPI:1467720151
Name:ANCHORAGE DOCTORS INCORPORATED
Entity Type:Organization
Organization Name:ANCHORAGE DOCTORS INCORPORATED
Other - Org Name:ALPINE URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHANE
Authorized Official - Middle Name:
Authorized Official - Last Name:CUMMINGS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:907-344-2400
Mailing Address - Street 1:3705 ARCTIC BLVD # 555
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503-5774
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:907-344-2404
Practice Address - Street 1:1310 E DIMOND BLVD
Practice Address - Street 2:SUITE #1
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99515-2012
Practice Address - Country:US
Practice Address - Phone:907-344-2404
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-08
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK958805261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care