Provider Demographics
NPI:1225760622
Name:PEAK CARE COORDINATION
Entity Type:Organization
Organization Name:PEAK CARE COORDINATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CARE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:A
Authorized Official - Last Name:HATT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-529-4289
Mailing Address - Street 1:6955 N SITZE RD
Mailing Address - Street 2:
Mailing Address - City:WASILLA
Mailing Address - State:AK
Mailing Address - Zip Code:99623-9001
Mailing Address - Country:US
Mailing Address - Phone:907-529-4289
Mailing Address - Fax:
Practice Address - Street 1:6955 N SITZE RD
Practice Address - Street 2:
Practice Address - City:WASILLA
Practice Address - State:AK
Practice Address - Zip Code:99623-9001
Practice Address - Country:US
Practice Address - Phone:907-529-4289
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-26
Last Update Date:2022-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty