COPPER RIVER NATIVE ASSOCIATION (NPI# 1669005856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669005856 |
Entity Type | Organization |
Organization Name | COPPER RIVER NATIVE ASSOCIATION |
Practice Address |
111.5 Richardson Highway Copper Center AK 99573 |
Mailing Address |
Po Box H Copper Center AK 99573-0508 |
Practice Telephone | 9078225241 |
Mailing Telephone | 9078225241 |
Enumeration Date | 2020-02-17 |
Last Update Date | 2020-02-17 |
Authorized Official Name | CECIL SANFORD (BEHAVIORAL HEALTH DIRECTOR) |
Authorized Official Telephone | 9078225241 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962900100 | Copper River Native Association | Pharmacy | Mile 111.5 Richardson Highway, Glennallen, AK 99588 | 2018-01-23 |
1760907844 | Copper River Native Association | Chiropractor | Mile 111.5 Richardson Hwy, Copper Center, AK 99573-0508 | 2017-08-09 |
1164745691 | Copper River Native Association | Clinic/Center | Mile 127 Old Richardson Hwy, Box H, Copper Center, AK 99573 | 2010-03-11 |
1306987532 | Copper River Native Association | Dentist | Glenn Hwy. 187 Mp, Glennallen, AK 99588-0744 | 2007-02-09 |
1194866871 | Copper River Native Association | Counselor | Mp 111.5 Richardson Hwy, Copper Center, AK 99573-0508 | 2007-02-08 |
Street Address |
111.5 RICHARDSON HIGHWAY |
City | COPPER CENTER |
State | AK |
Zip Code | 99573 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437655636 | Anna Carolyn Culp | Behavior Technician | 111.5 Old Richardson Hwy, Copper Center, AK 99573 | 2018-04-05 |
1184120404 | Meghan Elizabeth Wahl | Behavior Technician | 111.5 Richardson Hwy, Copper Center, AK 99573 | 2018-04-04 |
1790037752 | Alice Vera Hand | Community Health Worker | Mile 104 Old Richardson Hwy, Copper Center, AK 99573 | 2012-10-15 |
1164745691 | Copper River Native Association | Clinic/Center | Mile 127 Old Richardson Hwy, Box H, Copper Center, AK 99573 | 2010-03-11 |
1285194688 | Jennifer Hamann | Counselor | Mile 111.5 Richardson Hwy, Copper Center, AK 99573 | 2019-03-21 |
1467949966 | Amber Alexander | Behavior Technician | Mile 111.5 Richardson Hwy, Copper Center, AK 99573 | 2018-04-19 |
1063919116 | Luke Ray Schmidt | Behavior Technician | Mile 111.5 Richardson Hwy, Copper Center, AK 99573 | 2018-04-06 |
1831695048 | Alyson Maree Geldersma | Behavior Technician | Mile 111.5 Richardson Hwy, Copper Center, AK 99573 | 2018-04-05 |
1740845692 | Angel Craig | Counselor | Mile 111.5 Rich Hwy, Copper Center, AK 99573-0508 | 2019-05-07 |
1851817449 | Deanna Leigh Kosbruk | Community Health Worker | Mile 111.5, Copper Center, AK 99573-0508 | 2017-08-16 |
Find all providers in zip 99573 |
Taxonomy Code | 261QR0401X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Definition to come... |
City | COPPER CENTER |
Zip Code | 99573 |
Please comment or provide details below to improve the information on COPPER RIVER NATIVE ASSOCIATION.
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.