NPIMap

Organization Active NPI

City of Craig, Inc.

Doing business as Craig Clinic

  • Family Medicine Physician
  • Craig, AK
National Provider Identifier
1578794863
Registry record updated Aug 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
710680 Issued in AK
Legal business name
CITY OF CRAIG, INC.
Doing business as
Craig Clinic
Practice address
506 3Rd St.
Craig, AK 99921
Phone
(907) 826-3257
Fax
(907) 826-3259
NPI assigned
Aug 4, 2009
Last updated
Aug 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2009

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

Authorized official

Name
Robert C Thomas, M.D.
Title
Administrator
Phone
(907) 826-3257

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 710680 AK Primary

Addresses

Primary practice location

506 3Rd St.
Craig, AK 99921

Mailing address

PO Box 656
Craig, AK 99921-0656
Phone (907) 826-3257

Other identifiers 1

IdentifierTypeStateIssuer
K151640OtherAKMEDICARE PTAN

Other names 1

  • Craig Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1249344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249344000000",
    "number": "1578794863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 656",
            "city": "CRAIG",
            "state": "AK",
            "postal_code": "999210656",
            "telephone_number": "907-826-3257",
            "fax_number": "907-826-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 3RD ST.",
            "city": "CRAIG",
            "state": "AK",
            "postal_code": "99921",
            "telephone_number": "907-826-3257",
            "fax_number": "907-826-3259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF CRAIG, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-04",
        "last_updated": "2009-08-04",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-826-3257",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "710680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "K151640",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Craig Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Craig, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2009; 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.