COPPER RIVER NATIVE ASSOCIATION


Address: 111.5 Richardson Highway, Copper Center, AK 99573
Phone: 9078225241

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).

Provider Overview

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

Taxonomy

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

Other Provider IDs and Locations

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

Office Location

Street Address 111.5 RICHARDSON HIGHWAY
City COPPER CENTER
State AK
Zip Code 99573

Providers in the same zip code

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 Information

Taxonomy Code 261QR0401X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Taxonomy Definition

Definition to come...

Competitor

Search similar providers

City COPPER CENTER
Zip Code 99573

Improve Information

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Dataset Information

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.

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