Provider Type Icon

IMMACULATED CONCEPCION NPI 1891906095


NPI Information

NPI: 1891906095
Provider Name: IMMACULATED CONCEPCION
Classification: Non-emergency Medical Transport (VAN) - 343900000X
Entity Type: Organization
Address:
1836 LAURA CIRCLE
ANCHORAGE, AK
ZIP 99508
Phone: (907) 332-0158
Get Directions

IMMACULATED CONCEPCION is a non emergency medical transport van in Anchorage, AK. The provider is a land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. IMMACULATED CONCEPCION NPI is 1891906095. The provider is registered as an organization entity type.

The provider's business location address is:

1836 LAURA CIRCLE
ANCHORAGE, AK
ZIP 99508-516
Phone: (907) 332-0158
Fax: (907) 332-0958

The provider's authorized official is Jeanephere Hilario Lorenzana .
The authorized official title is Administrator and has the following contact phone number (907) 332-0158.

The enumeration date for this NPI number is 5/27/2007 and was last updated on 3/29/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility100549ALASKANo
2343900000XNon-emergency Medical Transport (VAN)7090913ALASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1RL 7902MEDICAIDALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.