COPPER RIVER NATIVE ASSOCIATION
NPI 1164745691
Clinic/Center - Corporate Health in Copper Center, AK

NPI Status: Active since March 11, 2010

Contact Information

MILE 111.5 RICHARDSON HWY
COPPER CENTER, AK
ZIP 99573
Phone: (907) 822-5241
Fax: (907) 822-8804

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  • Organization
  • Clinic/Center
  • Corporate Health
  • Accepts Insurance
  • CLIA Number: 02D0861295
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 05-21-2027

About COPPER RIVER NATIVE ASSOCIATION

This page provides the complete NPI Profile along with additional information for Copper River Native Association, a provider established in Copper Center, Alaska operating as a Clinic/center, focusing in corporate health . The healthcare provider is registered in the NPI registry with number 1164745691 assigned on March 2010. The practitioner's primary taxonomy code is 261QC1800X with license number S2312 (AK). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Copper River Native Association. The authorized official of this NPI record is Nikki R Wiedlund (Senior Pfs)

NPI
1164745691
Provider Legal Name
AHTNA T' AENE NENE'
Other Organization Name
COPPER RIVER NATIVE ASSOCIATION
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
MILE 111.5 RICHARDSON HWY COPPER CENTER, AK 99573
Location Phone
(907) 822-5241
Location Fax
(907) 822-8804
Mailing Address
PO BOX 383 GLENNALLEN, AK 99588
Mailing Phone
(907) 822-5241
Mailing Fax
(907) 822-8804
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-11-2010
Last Update Date
11-22-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Corporate Health

Taxonomy Code
261QC1800X
Type
Ambulatory Health Care Facilities
License No.
S2312
License State
AK

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO
  • Premera Blue Cross Family Dental - PPO
  • Premera Blue Cross Pediatric Dental - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

NIKKI R WIEDLUND

Authorized Official Title
SENIOR PFS
Authorized Official Phone
(907) 206-6812

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
02D0861295
Facility Type
Community Clinic
Certificate Effective Date
May 22, 2025
Certificate Expiration Date
May 21, 2027
Laboratory Director
CHRISTOPHER SCHWANKL
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Copper River Native Association on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for COPPER RIVER NATIVE ASSOCIATION

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1164745691, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
4
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
6
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 7 → 14 → 5 5 → 10 → 1 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 2 + 4 + 1 + 4 + 4 + 1 + 0 + 6 + 1 + 8 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1164745691.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Physical Therapist
MILE 111.5 RICHARDSON HWY
COPPER CENTER, AK 99573
Community Health Worker
MILE 111.5 RICHARDSON HWY
COPPER CENTER, AK 99573
Behavior Technician
MILE 111.5 RICHARDSON HWY
COPPER CENTER, AK 99573
Behavior Technician
MILE 111.5 RICHARDSON HWY
COPPER CENTER, AK 99573
Dentist
MILE 111.5 RICHARDSON HWY
COPPER CENTER, AK 99573
Counselor (Mental Health)
MILE 111.5 RICHARDSON HWY
COPPER CENTER, AK 99573
Counselor
MILE 111.5 RICHARDSON HWY
COPPER CENTER, AK 99573
Emergency Medicine (Emergency Medical Services)
MILE 111.5 RICHARDSON HWY
COPPER CENTER, AK 99573
Community Health Worker
MILE 111.5 RICHARDSON HWY
COPPER CENTER, AK 99573
Community Health Worker
MILE 111.5 RICHARDSON HWY
COPPER CENTER, AK 99573
Dentist
MILE 111.5 RICHARDSON HWY
COPPER CENTER, AK 99573

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164745691, enumerated as an "organization" on March 11, 2010.

The provider is located at MILE 111.5 RICHARDSON HWY COPPER CENTER, AK 99573 and the phone number is (907) 822-5241.

Clinic/Center with taxonomy code 261QC1800X and a focus in Corporate Health.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.