Provider Demographics
NPI:1245128859
Name:CARESMITH COORDINATION
Entity type:Organization
Organization Name:CARESMITH COORDINATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:CARE COORDINATOR
Authorized Official - Phone:907-202-4448
Mailing Address - Street 1:PO BOX 1813
Mailing Address - Street 2:
Mailing Address - City:HOMER
Mailing Address - State:AK
Mailing Address - Zip Code:99603-1813
Mailing Address - Country:US
Mailing Address - Phone:907-202-4448
Mailing Address - Fax:907-313-4734
Practice Address - Street 1:4301 MATTOX RD.
Practice Address - Street 2:APT. 8
Practice Address - City:HOMER
Practice Address - State:AK
Practice Address - Zip Code:99603
Practice Address - Country:US
Practice Address - Phone:907-202-4448
Practice Address - Fax:907-313-4734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management