INTERIOR MEDICAL SUPPLY LLC (NPI# 1295805810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295805810 |
| Entity Type | Organization |
| Organization Name | INTERIOR MEDICAL SUPPLY LLC |
| Other Organization Name | INTERIOR MEDICAL SUPPLY |
| Practice Address |
915 30th Ave Ste 106 Fairbanks AK 99701-7577 |
| Practice Telephone | 9074578486 |
| Mailing Telephone | 9074578486 |
| Mailing Fax Number | 9074578488 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2008-06-02 |
| Authorized Official Name | TRACY LYNN INGRAHAM (OWNER) |
| Authorized Official Telephone | 9074578486 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 304642 | AK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | MS3444 | 05 |
| Other Name | Type Code |
|---|---|
| Interior Medical Supply | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932568946 | Interior Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 907 E Dowling Rd, Ste 25, Anchorage, AK 99518-1426 | 2016-02-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | INTERIOR MEDICAL SUPPLY LLC | 915 30th Ave Ste 106, Fairbanks, AK 99701-7577 |
| Street Address |
915 30TH AVE STE 106 |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99701-7577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184755720 | Interior Mobility Systems LLC | Contractor | 915 30th Ave, Suite 106, Fairbanks, AK 99701-7509 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659984987 | Resource Center for Parents & Children, Inc. | Social Worker | 726 26th Ave, Suite #2, Fairbanks, AK 99701 | 2020-08-26 |
| 1134738982 | Aaron Paul Sarauer | Behavior Technician | 3121 Lathrop St., Fairbanks, AK 99701 | 2020-07-28 |
| 1437715505 | Fabienne Rose Marie Siddall | Case Manager/Care Coordinator | 122 1st Avenue, Fairbanks, AK 99701 | 2019-05-14 |
| 1902461957 | Jacqueline Marie Rahm | Counselor | Family Centered Services of Alaska - Rtc, 3101 Lathrop St., Fairbanks, AK 99701 | 2019-05-06 |
| 1821588989 | Corrie Wilson | Nurse Practitioner | 1025 Barnette Street, Fairbanks, AK 99701 | 2018-05-15 |
| 1922519305 | Sarishma Sangeeta Lal | Registered Nurse | 815 2nd Ave Ste 122, Fairbanks, AK 99701 | 2017-10-12 |
| 1245690569 | Christine L Simko | Naturopath | 1275 Sadler Way, Ste 100 Rm 147, Fairbanks, AK 99701 | 2016-02-29 |
| 1932581600 | Jennifer Davis | Registered Nurse | 1025 West Barnette St., Fairbanks, AK 99701 | 2015-06-18 |
| 1700272705 | John D. Zipperer Jr Md, LLC | Clinic/Center | 751 Old Richardson Hwy., Fairbanks, AK 99701 | 2015-04-07 |
| 1578957460 | Mara Justine Becker | Physician Assistant | 1717 W. Cowles St, Fairbanks, AK- ALASKA 99701 | 2015-03-27 |
| Find all providers in zip 99701 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831623297 | Tyler Medical Products, LLC | Durable Medical Equipment & Medical Supplies | 530 Knightsbridge Rd, Fairbanks, AK 99709-2468 | 2017-04-12 |
| 1003366048 | Fairbanks Memorial Home Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 19 College Rd Unit D, Fairbanks, AK 99701-1702 | 2016-10-13 |
| 1841688314 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 530 Old Steese Hwy, Fairbanks, AK 99701-3130 | 2015-01-06 |
| 1033511241 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1350 Sportsman Way, Fairbanks, AK 99709-4633 | 2014-09-18 |
| 1124466925 | Procare Home Medical, Inc | Durable Medical Equipment & Medical Supplies | 3519 Industrial Ave, Fairbanks, AK 99701-7377 | 2013-06-13 |
| 1003012659 | Lynn E and Delamour R. Kriley | Durable Medical Equipment & Medical Supplies | 3115 Airport Way, Fairbanks, AK 99709-4755 | 2007-06-21 |
| 1205041126 | Banner Home Medical Equipment | Durable Medical Equipment & Medical Supplies | 19 College Rd, Unit D, Fairbanks, AK 99701-1702 | 2007-05-14 |
| 1447277652 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 537 Johansen Expy, Fairbanks, AK 99701-3165 | 2006-07-16 |
| 1003845041 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 30 College Rd, Fairbanks, AK 99701-1706 | 2006-07-02 |
| 1649209685 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 3627 Airport Way, Fairbanks, AK 99709-4779 | 2006-07-02 |
| Find all providers in FAIRBANKS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.