Organization Active NPI

Swiftwater Group Alaska, LLC

  • Case Management Agency
  • Wasilla, AK
National Provider Identifier
1194012682
Registry record updated Jul 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2011

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.