AHTNA T' AENE NENE' NPI 1194866871

NPI Information

NPI: 1194866871
Provider Name: AHTNA T' AENE NENE'

Doing Business As: COPPER RIVER NATIVE ASSOCIATION

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
MP 111.5 RICHARDSON HWY
COPPER CENTER, AK
ZIP 99573
Phone: (907) 822-5241
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AHTNA T' AENE NENE' is a mental health counselor in Copper Center, AK. AHTNA T' AENE NENE' NPI is 1194866871. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Copper River Native Association.

The provider's business location address is:

MP 111.5 RICHARDSON HWY
COPPER CENTER, AK
ZIP 99573-508
Phone: (907) 822-5241
Fax: (907) 822-8801

The provider's authorized official is Nikki R Wiedlund .
The authorized official title is Patient Financial Services Manager and has the following contact phone number (907) 206-6812.

The enumeration date for this NPI number is 2/8/2007 and was last updated on 2/28/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	36087	ALASKA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	DA4434	MEDICAID	ALASKA
2	MH0641	MEDICAID	ALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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