Organization Active NPI

Links Mat-Su Parent Resource Center

  • Case Manager/Care Coordinator
  • Wasilla, AK
National Provider Identifier
1063071660
Registry record updated Jun 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
LINKS MAT-SU PARENT RESOURCE CENTER
Practice address
777 N Crusey St Ste A101
Wasilla, AK 99654-7100
Phone
(907) 373-3632
Fax
(907) 373-3620
NPI assigned
Jun 7, 2019
Last updated
Jun 7, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Frederick Coates Pennington IV
Title
Executive Director
Phone
(907) 373-3631

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X NU Primary

Addresses

Primary practice location

777 N Crusey St Ste A101
Wasilla, AK 99654-7100

Mailing address

777 N Crusey St Ste A101
Wasilla, AK 99654-7100
Phone (907) 373-3632

National Provider Directory

National Provider Directory

Locations

777 N Crusey St
Ste A101
Wasilla, AK 99654
Phone (907) 373-3632

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559865600000",
    "number": "1063071660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 N CRUSEY ST STE A101",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547100",
            "telephone_number": "907-373-3632",
            "fax_number": "907-373-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 N CRUSEY ST STE A101",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547100",
            "telephone_number": "907-373-3632",
            "fax_number": "907-373-3620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINKS MAT-SU PARENT RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-07",
        "last_updated": "2019-06-07",
        "status": "A",
        "authorized_official_last_name": "PENNINGTON",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "COATES",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "907-373-3631",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.