Buckeye Care Coordination, LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

BUCKEYE CARE COORDINATION, LLC

Practice address

1635 E Kinzi Cir Apt 2
Wasilla, AK 99654-8378

Phone

(907) 414-6268

Fax

(907) 782-4268

NPI assigned

May 10, 2022

Organization subpart

No

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

Authorized official

Name

Christopher David Mossholder

Title

Program Manager/Care Coordinator

Phone

(907) 414-6268

Specialties & licenses 1

Addresses

Other names 1

• Christopher Mossholder Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chris D. Mossholder

  • Case Manager/Care Coordinator
  • Bethel, AK
  • NPI 1386870863
  NPD

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652140800000",
    "number": "1992441240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 E MOUNTAIN VILLAGE DR STE B",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547332",
            "telephone_number": "907-414-6268",
            "fax_number": "907-782-4268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 E KINZI CIR APT 2",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996548378",
            "telephone_number": "907-414-6268",
            "fax_number": "907-782-4268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKEYE CARE COORDINATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-10",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A",
        "authorized_official_last_name": "MOSSHOLDER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PROGRAM MANAGER/CARE COORDINATOR",
        "authorized_official_telephone_number": "907-414-6268"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christopher Mossholder",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jay Bryan, RN
• Marlys F Bryan, RPT
• Rachel Bryant, LCSW
• Kristina Buck, DPT, PT
• Krysten Buck
• Casey Buckland, DPT
• Christi Raye Buckroyd
• Zachary Ross Budrew
• Tinamarie Buffington
• Stephanie Marie Bugh

• All providers in Wasilla, AK
• Case Management Agency in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; 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.