NPIMap

Organization Active NPI

Tutan Recovery Center

  • Preferred Provider Organization
  • Anchorage, AK
National Provider Identifier
1861839250
Registry record updated May 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
2933 Issued in AK
Legal business name
TUTAN RECOVERY CENTER
Practice address
601 W 58TH Ave Ste 140
Anchorage, AK 99518-1630
Phone
(907) 563-0555
NPI assigned
May 27, 2013
Last updated
May 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2013

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

Authorized official

Name
Ms. Eydie Yvonne Flygare, 9075630555
Title
Owner
Phone
(907) 563-0555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 2933 AK Primary

Addresses

Primary practice location

601 W 58TH Ave Ste 140
Anchorage, AK 99518-1630

Mailing address

601 W 58TH Ave Ste 140
Anchorage, AK 99518-1630
Phone (907) 563-0555

National Provider Directory

National Provider Directory

Locations

601 W 58th Ave
Ste 140
Anchorage, AK 99518
Phone (907) 563-0555

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1369612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369612800000",
    "number": "1861839250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W 58TH AVE STE 140",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995181630",
            "telephone_number": "907-563-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W 58TH AVE STE 140",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995181630",
            "telephone_number": "907-563-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUTAN RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-27",
        "last_updated": "2013-05-27",
        "status": "A",
        "authorized_official_last_name": "FLYGARE",
        "authorized_official_first_name": "EYDIE",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-563-0555",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "9075630555"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "AK",
            "license": "2933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.