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Organization

CARE COORDINATION SERVICES OF ALASKA LLC

Active
Other names
Care Coordination Services of Alaska LLC
Organization subpart
No

Provider details

NPI number
Authorized official
STEVEN L SMITH (OWNER / ADMIISTRATOR)
(907) 301-0072
Entity
Organization

Contact information

Practice address
24937 JESSE LEE COURT, CHUGIAK, AK 99567
(190) 730-1007
(822) 409-2220
Mailing address
PO BOX 671403, CHUGIAK, AK 99567-1403
(907) 301-0072

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1716509
AK
Enumeration date
10/01/2021
Last updated
07/28/2023
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