NPI 1295407948

Care Coordination Services of Alaska LLC

Organisation Exclusive Provider Organization Chugiak, AK

Practice location

Address: 24937 Jesse Lee Court, Chugiak, AK 99567
Phone: (190) 730-1007
Fax: (822) 409-2220
Mailing address: PO Box 671403, Chugiak, AK 99567-1403

Authorised official

Name: Steven L Smith
Title: Owner / Admiistrator
Phone: (907) 301-0072

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

Other Exclusive Provider Organization providers in Alaska →

Registry record

NPI: 1295407948
Entity type: Organization
NPI issued: 1 Oct 2021
Record last updated: 28 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.