Rural Cap Alaska

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

5890375920 Issued in AK

Legal business name

RURAL CAP ALASKA

Practice address

120 N Hoyt St
Anchorage, AK 99508-1602

Phone

(907) 222-5259

NPI assigned

Jun 21, 2013

Organization subpart

No

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

Authorized official

Name

Gloria Gomez-Villanueva, RSS

Title

Case Manager

Phone

(907) 222-5259

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1371772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371772800000",
    "number": "1902245160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N HOYT ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995081602",
            "telephone_number": "907-222-5259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N HOYT ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995081602",
            "telephone_number": "907-222-5259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RURAL CAP ALASKA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-21",
        "last_updated": "2013-06-21",
        "status": "A",
        "authorized_official_last_name": "GOMEZ-VILLANUEVA",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "CASE MANAGER",
        "authorized_official_telephone_number": "907-222-5259",
        "authorized_official_credential": "RSS"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "AK",
            "license": "5890375920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9567840",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Inga Irene Runstrom
• Jolie Carlene Runyan
• Elizabeth L Rupert Earll
• Rural Alaska Community Action Program, Inc.
• Rural Cap
• Chantel Rushing
• Stephanie Michelle Rushing
• Megan Russell-Licata
• Abdel Russell
• Alexis Russell

• Exclusive Provider Organization in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Exclusive Provider Organization in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.