COPPER RIVER NATIVE ASSOCIATION (NPI# 1164745691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164745691 |
Entity Type | Organization |
Organization Name | COPPER RIVER NATIVE ASSOCIATION |
Other Organization Name | GULKANA CLINIC |
Practice Address |
Mile 127 Old Richardson Hwy Box H Copper Center AK 99573 |
Mailing Address |
Mile 104 Old Richardson Hwy Copper Center AK 99573 |
Practice Telephone | 9078225241 |
Practice Fax Number | 9078228804 |
Mailing Telephone | 9078225241 |
Mailing Fax Number | 9078228804 |
Enumeration Date | 2010-03-11 |
Last Update Date | 2010-03-11 |
Authorized Official Name | PAULETTE SCHEURCH (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 9078225241 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QC1800X |
Clinic/Center Specialization: Corporate Health |
S2312 | AK | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
GULKANA CLINIC | 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 |
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 |
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 127 OLD RICHARDSON HWY BOX H |
City | COPPER CENTER |
State | AK |
Zip Code | 99573 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669005856 | Copper River Native Association | Clinic/Center | 111.5 Richardson Highway, Copper Center, AK 99573 | 2020-02-17 |
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 |
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 | 261QC1800X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Corporate Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912121575 | Elite Rehabilitation PC | Clinic/Center | 104 S Binkley St, Suite C, Soldotna, AK 99669-8006 | 2007-04-12 |
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.