OrganizationActive
Interior Medical Supply LLC
NPI 1295805810 · Durable Medical Equipment & Medical Supplies · Fairbanks, AK
Provider details
- NPI number
- 1295805810
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Tracy Ingraham, Owner(907) 457-8486
- License
- 304642 (AK)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
915 30th Ave
Ste 106
Fairbanks, AK 99701-7577
Phone: (907) 457-8486
Street-level locationGet directions
Mailing address
915 30th Ave
Fairbanks, AK 99701-7577
Other names (DBA / former)
- Doing business as
- Interior Medical Supply
Registry dates
- Enumerated
- 2006-11-09
- Last updated
- 2008-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.