NPIMap

Organization Active NPI

Care Coordination Services of Alaska LLC

  • Exclusive Provider Organization
  • Chugiak, AK
National Provider Identifier
1295407948
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
CARE COORDINATION SERVICES OF ALASKA LLC
Practice address
24937 Jesse Lee Court
Chugiak, AK 99567
Phone
(190) 730-1007
Fax
(822) 409-2220
NPI assigned
Oct 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Authorized official

Name
Steven L SmithNPI 1104419191
Title
Owner / Admiistrator
Phone
(907) 301-0072

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
Exclusive Provider Organization 302F00000X Primary

Addresses

Primary practice location

24937 Jesse Lee Court
Chugiak, AK 99567

Mailing address

PO Box 671403
Chugiak, AK 99567-1403
Phone (907) 301-0072

Other identifiers 1

IdentifierTypeStateIssuer
1716509MedicaidAK

Other names 1

  • Care Coordination Services of Alaska LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1633046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690502400000",
    "number": "1295407948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 671403",
            "city": "CHUGIAK",
            "state": "AK",
            "postal_code": "995671403",
            "telephone_number": "907-301-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24937 JESSE LEE COURT",
            "city": "CHUGIAK",
            "state": "AK",
            "postal_code": "99567",
            "telephone_number": "190-730-1007",
            "fax_number": "822-409-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE COORDINATION SERVICES OF ALASKA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-01",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER / ADMIISTRATOR",
        "authorized_official_telephone_number": "907-301-0072"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1716509",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care Coordination Services of Alaska LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chugiak, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; 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.