Individuals First Care Coordination

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

980370 Issued in AK

Legal business name

INDIVIDUALS FIRST CARE COORDINATION

Practice address

2041 N Broadway Dr
Palmer, AK 99645-9314

Phone

(907) 982-9343

Fax

(907) 746-8620

NPI assigned

Feb 22, 2013

Last updated

Feb 22, 2013By 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

Nicole Skube

Title

Administrator/Care Coordinator

Phone

(907) 982-9343

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1361491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361491200000",
    "number": "1689914996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3545",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996453545",
            "telephone_number": "907-982-9343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 N BROADWAY DR",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996459314",
            "telephone_number": "907-982-9343",
            "fax_number": "907-746-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIVIDUALS FIRST CARE COORDINATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-22",
        "last_updated": "2013-02-22",
        "status": "A",
        "authorized_official_last_name": "SKUBE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "ADMINISTRATOR/CARE COORDINATOR",
        "authorized_official_telephone_number": "907-982-9343"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "AK",
            "license": "980370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SDS PROVIDER NUMBER",
            "identifier": "CMX",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "COS 68",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian David Hutchings, DDS
• Daizy Ann Hutton
• Ideal Family Medicine
• Lisa P Illg, P.T.
• Aeli Imgrund
• Jessica F Ingham
• Lane Tyler Inman, RN
• Allen Joy Isselbacher
• Samantha I Ivey
• Eden Catherine Arzella Jacobs

• Case Management Agency in Palmer, AK
• Providers in Palmer, AK by specialty
• Case Management Agency in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; 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.