NPI 1902245160

Rural Cap Alaska

Organisation Exclusive Provider Organization Anchorage, AK

Practice location

Address: 120 N Hoyt St, Anchorage, AK 99508-1602
Phone: (907) 222-5259

Authorised official

Name: Gloria Gomez-Villanueva
Title: Case Manager
Phone: (907) 222-5259

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 5890375920 (AK)

Other Exclusive Provider Organization providers in Alaska →

Registry record

NPI: 1902245160
Entity type: Organization
NPI issued: 21 Jun 2013
Record last updated: 21 Jun 2013

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.