COPPER RIVER NATIVE ASSOCIATION (NPI# 1962900100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962900100 |
| Entity Type | Organization |
| Organization Name | COPPER RIVER NATIVE ASSOCIATION |
| Other Organization Name | CRNA PHARMACY |
| Practice Address |
Mile 111.5 Richardson Highway Glennallen AK 99588 |
| Mailing Address |
Mile 111.5 Richardson Highway Po Box H Glennallen AK 99588 |
| Practice Telephone | 9078225241 |
| Practice Fax Number | 9078225695 |
| Mailing Telephone | 9078225241 |
| Mailing Fax Number | 9078225695 |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2018-01-23 |
| Authorized Official Name | PAUL RUDE (CEO) |
| Authorized Official Telephone | 9078224251 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 123829 | AK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2175467 | 01 |
| Other Name | Type Code |
|---|---|
| CRNA Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669005856 | Copper River Native Association | Clinic/Center | 111.5 Richardson Highway, Copper Center, AK 99573 | 2020-02-17 |
| 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 |
MILE 111.5 RICHARDSON HIGHWAY |
| City | GLENNALLEN |
| State | AK |
| Zip Code | 99588 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124669874 | Abigail Nagengast | Massage Therapist | 187.6 Glenn Highway, Glennallen, AK 99588 | 2019-10-03 |
| 1932633377 | Marissa Dewit | Massage Therapist | Mp 187.5 Glenn Highway, Glennallen, AK 99588 | 2017-04-12 |
| 1629349618 | Stephanie Allison Sever | Massage Therapist | 6 Old Potato Way, Mccarthy, AK 99588 | 2012-01-23 |
| 1588804306 | Roger Allen Hughes | Physician Assistant | Mile 186.5 Glenn Hwy, Glennallen, AK 99588 | 2009-03-06 |
| 1871780452 | Cathy Jean King | Counselor | Mile 111.2 Richardson Hwy, Corner of Tazlina Terrace Drive, Glnnallen, AK 99588 | 2007-09-27 |
| 1508945429 | Sandra R Tsinnie | Pharmacy Technician | Mm 187.5 Glenn Hwy, Glennallen, AK 99588 | 2006-11-02 |
| 1013093095 | Jimmie Lynn Asher | Pharmacist | Mm 111.5 Richardson Hwy, Glennallen, AK 99588 | 2006-10-31 |
| 1194334474 | Tom M Peek | Counselor | Mile 111.5, Glennallen, AK 99588 | 2020-07-23 |
| 1255996369 | Suzanne Marie Sarafin | Massage Therapist | Mile 187 Glenn Highway, Glennallen, AK 99588 | 2019-05-03 |
| 1215418728 | Jim Lorence | Counselor | Mile 111.5 Richardson Hwy, Copper Center, AK 99588 | 2018-08-23 |
| Find all providers in zip 99588 | ||||
| Taxonomy Code | 332800000X |
| Grouping | Suppliers |
| Classification | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603. |
| Notes: Source: The Medicare Prescription Drug, Improvement and Modernization Act of 2003 [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720460652 | Alaska Native Tribal Health Consortium | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 3801 University Lake Dr Ste 100, Anchorage, AK 99508-4658 | 2015-06-27 |
| 1972869071 | Alaska Native Tribal Health Consortium | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1w326, 4315 Diplomacy Drive, Anchorage, AK 99508 | 2012-04-03 |
| 1194848242 | Searhc Haines Medical Clinic Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 131 First Ave South, Haines, AK 99827-1549 | 2007-04-06 |
| 1366587743 | Scf Rasu Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 4160 Tudor Centre Dr, Anchorage, AK 99508-5901 | 2007-02-21 |
| 1154493666 | Maniilaq Health Center Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 5th St and Grizzley, Kotzebue, AK 99752 | 2006-11-14 |
| 1881780880 | Searhc - Mte Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 222 Tongass Drive, Sitka, AK 99835 | 2006-10-05 |
| 1851486153 | Searhc - Juneau Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1200 Salmon Creek Road, Juneau, AK 99801 | 2006-10-03 |
| 1245605179 | Norton Sound Health Corporation | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 189 Airport Road, Unalakleet, AK 99684-0189 | 2015-12-03 |
| 1760739601 | Southcentral Foundation | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 | 2012-08-09 |
| 1811106271 | Alaska Native Tribal Health Consortium | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2007-05-22 |
| Find all providers with the same taxonomy | ||||
| City | GLENNALLEN |
| Zip Code | 99588 |
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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.