CITY OF CRAIG, INC. (NPI# 1578794863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578794863 |
| Entity Type | Organization |
| Organization Name | CITY OF CRAIG, INC. |
| Other Organization Name | CRAIG CLINIC |
| Practice Address |
506 3rd St. Craig AK 99921 |
| Mailing Address |
Po Box 656 Craig AK 99921-0656 |
| Practice Telephone | 9078263257 |
| Practice Fax Number | 9078263259 |
| Mailing Telephone | 9078263257 |
| Mailing Fax Number | 9078263259 |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2009-08-04 |
| Authorized Official Name | ROBERT C THOMAS (ADMINISTRATOR) |
| Authorized Official Telephone | 9078263257 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 710680 | AK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | MEDICARE PTAN | K151640 | 01 |
| Other Name | Type Code |
|---|---|
| Craig Clinic | Doing Business As Name - Organization |
| Street Address |
506 3RD ST. |
| City | CRAIG |
| State | AK |
| Zip Code | 99921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801426515 | Leigh Ann White | Social Worker | 1 800 C-k Hwy, Suite #241, Craig, AK 99921 | 2020-01-22 |
| 1154887602 | Gayle Virginia Townsend | Counselor | 333 Cold Storage Dr., Craig, AK 99921 | 2019-02-20 |
| 1811366503 | Barbara Skan | Counselor | 1305 Craig Klawock Hwy, Craig, AK 99921 | 2015-09-23 |
| 1265821359 | Southeast Alaska Regional Health Consortium | Clinic/Center | 1305 Craig-klawock Hwy, Craig, AK 99921 | 2015-01-13 |
| 1629418272 | Scott Brookshire | Dentist | 407 Spruce St., Craig, AK 99921 | 2013-06-27 |
| 1588931877 | Jeffries George Nickerson | Emergency Medical Technician, Intermediate | 7300 Klawock-hollis, Klawock, AK 99921 | 2011-11-30 |
| 1871732677 | Julie Lynch Mcdonald | Pharmacist | 333 Cold Storage Road, Craig, AK 99921 | 2009-02-18 |
| 1861686966 | Michael Alexander Melendrez Sr. | Chiropractor | 1908 Hamilton Dr, Craig, AK 99921 | 2007-08-31 |
| 1538388905 | Beverlee Joesten-tyner | Case Manager/Care Coordinator | 1 Easy St., Craig, AK 99921 | 2007-04-24 |
| 1780803155 | Cari Jones | Case Manager/Care Coordinator | 1 Easy Street, Craig, AK 99921 | 2007-04-24 |
| Find all providers in zip 99921 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982854980 | Patrick E Ballard | Family Medicine | 1800 Craig-klawock Rd, Craig, AK 99921-0000 | 2008-09-25 |
| 1710963962 | Diana Hornung | Family Medicine | 745 Russell St., Craig, CO 81625-2019 | 2005-12-20 |
| 1659729671 | Netana Machacek | Family Medicine | 750 Hospital Loop, Craig, CO 81625-8750 | 2016-05-31 |
| 1457649808 | Mary Shannon Clow Becker | Family Medicine | 595 Russell St, Craig, CO 81625-1920 | 2011-07-19 |
| 1396903274 | Anna C Lundeen | Family Medicine | 745 Russell St., Craig, CO 81625-2019 | 2008-05-28 |
| 1043487200 | Dodxrx | Family Medicine | 535 Yampa Ave, Suite 300, Craig, CO 81625-2627 | 2008-05-15 |
| 1538365986 | Elise D Sullivan | Family Medicine | 785 Russell St, Craig, CO 81625-2019 | 2007-06-22 |
| 1518096023 | Thomas N Told | Family Medicine | 580 Pershing St, Craig, CO 81625-3047 | 2007-03-02 |
| 1831228246 | Thomas N Told Do PC | Family Medicine | 580 Pershing St, Craig, CO 81625-3047 | 2007-03-02 |
| 1316076821 | Joel E Miller | Family Medicine | 535 Yampa Ave, Ste 300, Craig, CO 81625-2627 | 2007-03-02 |
| Find all providers in CRAIG | ||||
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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.