Provider Demographics
NPI:1376198069
Name:CARE COORDINATION ADVOCATES OF ALASKA
Entity Type:Organization
Organization Name:CARE COORDINATION ADVOCATES OF ALASKA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LANGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-707-7898
Mailing Address - Street 1:PO BOX 873582
Mailing Address - Street 2:
Mailing Address - City:WASILLA
Mailing Address - State:AK
Mailing Address - Zip Code:99687-3582
Mailing Address - Country:US
Mailing Address - Phone:907-707-7898
Mailing Address - Fax:
Practice Address - Street 1:901 N RICHMOND LN # B
Practice Address - Street 2:
Practice Address - City:PALMER
Practice Address - State:AK
Practice Address - Zip Code:99645-8472
Practice Address - Country:US
Practice Address - Phone:907-707-7898
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-08
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty