NPIMap

Organization Active NPI

Sunshine Community Health Center

  • Dental Clinic/Center
  • Talkeetna, AK
National Provider Identifier
1790802486
Registry record updated Aug 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
77895 Issued in AK
Legal business name
SUNSHINE COMMUNITY HEALTH CENTER
Practice address
34300 S. Talkeetna Spur Rd,
Talkeetna, AK 99676-9701
Phone
(907) 733-2273
Fax
(907) 733-1735
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2009

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

Authorized official

Name
Valeca Brickel
Title
Financial Director
Phone
(907) 733-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 77895 AK Primary

Addresses

Primary practice location

34300 S. Talkeetna Spur Rd,
Talkeetna, AK 99676-9701

Mailing address

HC 89 Box 8190
Talkeetna, AK 99676-9701
Phone (907) 733-2273

Other identifiers 1

IdentifierTypeStateIssuer
DDG83FQMedicaidAK

Other names 1

  • Sunshine Community Health Clinic Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sunshine Community Health8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250726400000",
    "number": "1790802486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 89 BOX 8190",
            "city": "TALKEETNA",
            "state": "AK",
            "postal_code": "996769701",
            "telephone_number": "907-733-2273",
            "fax_number": "907-733-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34300 S. TALKEETNA SPUR RD,",
            "city": "TALKEETNA",
            "state": "AK",
            "postal_code": "996769701",
            "telephone_number": "907-733-2273",
            "fax_number": "907-733-1735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE COMMUNITY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2009-08-20",
        "status": "A",
        "authorized_official_last_name": "BRICKEL",
        "authorized_official_first_name": "VALECA",
        "authorized_official_title_or_position": "FINANCIAL DIRECTOR",
        "authorized_official_telephone_number": "907-733-2273"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AK",
            "license": "77895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DDG83FQ",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunshine Community Health Clinic Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Talkeetna, AK

Sources for this page

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