| Copper River Native Association | |
|
Mile 111.5 Richardson Hwy Copper Center AK 99573 | |
| (907) 822-5241 | |
| (907) 822-4045 |
| Full Name | Copper River Native Association |
|---|---|
| Speciality | Dentist |
| Location | Mile 111.5 Richardson Hwy, Copper Center, Alaska |
| Authorized Official Name and Position | Nikki R Vosburg (PFS MANAGER) |
| Authorized Official Contact | 9078228486 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Copper River Native Association Po Box 383 Glennallen AK 99588-0383 Ph: (907) 822-5241 | Copper River Native Association Mile 111.5 Richardson Hwy Copper Center AK 99573 Ph: (907) 822-5241 |
| NPI Number | 1306987532 |
|---|---|
| Provider Enumeration Date | 02/09/2007 |
| Last Update Date | 04/16/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306987532 | NPI | - | NPPES |
| 1578580 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 36087 (Alaska) | Primary |