Active NPI
Swiftwater Group Alaska, LLC
- Case Management Agency
- Wasilla, AK
National Provider Identifier
1194012682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- SWIFTWATER GROUP ALASKA, LLC
- Practice address
- 6065 N Sitze Rd
Wasilla, AK 99654-9078 - Phone
- (907) 250-6648
- NPI assigned
- Jul 5, 2011
- Last updated
- Jul 5, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Irina Victoria Geddes
- Title
- President / Administrator
- Phone
- (907) 250-6648
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
6065 N Sitze Rd
Wasilla, AK 99654-9078
Mailing address
1830 E Parks Hwy # 229
Suite a-113
Wasilla, AK 99654-7378
Phone (907) 250-6648
National Provider Directory
National Provider DirectoryLocations
1830 E Parks Hwy
Ste A113
Wasilla, AK 99654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1309824000000",
"number": "1194012682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1830 E PARKS HWY # 229",
"address_2": "SUITE A-113",
"city": "WASILLA",
"state": "AK",
"postal_code": "996547378",
"telephone_number": "907-250-6648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6065 N SITZE RD",
"city": "WASILLA",
"state": "AK",
"postal_code": "996549078",
"telephone_number": "907-250-6648"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SWIFTWATER GROUP ALASKA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-05",
"last_updated": "2011-07-05",
"status": "A",
"authorized_official_last_name": "GEDDES",
"authorized_official_first_name": "IRINA",
"authorized_official_middle_name": "VICTORIA",
"authorized_official_title_or_position": "PRESIDENT / ADMINISTRATOR",
"authorized_official_telephone_number": "907-250-6648",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"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 Jul 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.