NPIMap

Organization Active NPI

Su-Valley Care Coordination, LLC

  • Case Management Agency
  • Wasilla, AK
National Provider Identifier
1184030520
Registry record updated Jul 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
10018139 Issued in AK
Legal business name
SU-VALLEY CARE COORDINATION, LLC
Practice address
500 E Swanson Ave Ste 9
Wasilla, AK 99654-7197
Phone
(907) 841-2077
Fax
(888) 588-5194
NPI assigned
Jul 7, 2014
Last updated
Jul 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2014

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

Authorized official

Name
Frances D WalkerNPI 1316245517
Title
Administrator
Phone
(907) 841-2077

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 10018139 AK Primary

Addresses

Primary practice location

500 E Swanson Ave Ste 9
Wasilla, AK 99654-7197

Mailing address

PO Box 513
Willow, AK 99688-0513
Phone (907) 841-2077

National Provider Directory

National Provider Directory

Locations

500 E Swanson Ave
Ste 9
Wasilla, AK
Phone (907) 373-1000

Practitioners & affiliated clinicians

Practitioners 8

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": "1404691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404691200000",
    "number": "1184030520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 513",
            "city": "WILLOW",
            "state": "AK",
            "postal_code": "996880513",
            "telephone_number": "907-841-2077",
            "fax_number": "888-588-5194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E SWANSON AVE STE 9",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547197",
            "telephone_number": "907-841-2077",
            "fax_number": "888-588-5194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SU-VALLEY CARE COORDINATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-07",
        "last_updated": "2014-07-07",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-841-2077"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "AK",
            "license": "10018139",
            "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 Jul 7, 2014; 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.