Far North Care Coordination Agency

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

FAR NORTH CARE COORDINATION AGENCY

Practice address

2230 Sentry Dr Apt B308
Anchorage, AK 99507-4688

Phone

(907) 891-2943

NPI assigned

Jul 20, 2020

Last updated

Jul 20, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stewart VandroffNPI 1851945471

Title

Owner

Phone

(907) 891-2943

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Stewart Vashion Vandroff

  • Behavior Technician
  • Anchorage, AK
  • NPI 1851945471
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595203200000",
    "number": "1588272157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 SENTRY DR APT B308",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995074688",
            "telephone_number": "907-891-2943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 SENTRY DR APT B308",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995074688",
            "telephone_number": "907-891-2943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAR NORTH CARE COORDINATION AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A",
        "authorized_official_last_name": "VANDROFF",
        "authorized_official_first_name": "STEWART",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-891-2943"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18519471",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fancy Moose Anchorage Alh
• Senerita Fanene
• Junlin Fang
• William James Fanning
• Victoria Fanslow, MD
• Far North Eye Care, LLC
• Far North Health Services LLC (Far North Medical Supplies)
• Far North Medical Supplies LLC
• Far North Speech Therapy
• Far North Surgery and Surgical Oncology PC

• Case Manager/Care Coordinator in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Case Manager/Care Coordinator in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.