NPIMap

Organization Active NPI

Sunshine Community Health Center

  • Case Management Agency
  • Talkeetna, AK
National Provider Identifier
1164549861
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
77895 Issued in AK
Legal business name
SUNSHINE COMMUNITY HEALTH CENTER
Practice address
Mile 4.5 Talkeetna Spur Road
Talkeetna, AK 99676
Phone
(907) 733-2273
Fax
(907) 733-1935
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Shelis Jorgensen, ANP
Title
Cordinator
Phone
(907) 733-9207

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 77895 AK Primary

Addresses

Primary practice location

Mile 4.5 Talkeetna Spur Road
Talkeetna, AK 99676

Mailing address

PO Box 787
Talkeetna, AK 99676-0787
Phone (907) 733-9207

Other identifiers 1

IdentifierTypeStateIssuer
CMG3761MedicaidAK

Other names 1

  • Sunshine Care Connection Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sunshine Community Health8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/27018/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164549861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 787",
            "city": "TALKEETNA",
            "state": "AK",
            "postal_code": "996760787",
            "telephone_number": "907-733-9207",
            "fax_number": "907-733-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MILE 4.5 TALKEETNA SPUR ROAD",
            "city": "TALKEETNA",
            "state": "AK",
            "postal_code": "99676",
            "telephone_number": "907-733-2273",
            "fax_number": "907-733-1935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE COMMUNITY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JORGENSEN",
        "authorized_official_first_name": "SHELIS",
        "authorized_official_title_or_position": "CORDINATOR",
        "authorized_official_telephone_number": "907-733-9207",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ANP"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "AK",
            "license": "77895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CMG3761",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunshine Care Connection",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Talkeetna, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.