Provider Demographics
NPI:1841689924
Name:TURNING STONES CARE COORDINATION, LLC
Entity type:Organization
Organization Name:TURNING STONES CARE COORDINATION, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GRANT
Authorized Official - Middle Name:E
Authorized Official - Last Name:VARVIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-332-4510
Mailing Address - Street 1:PO BOX 140489
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99514-0489
Mailing Address - Country:US
Mailing Address - Phone:907-332-4510
Mailing Address - Fax:907-332-4500
Practice Address - Street 1:4315 PETERKIN AVE
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-1620
Practice Address - Country:US
Practice Address - Phone:907-332-4510
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-13
Last Update Date:2015-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1011194305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization