Ryan Martin Coppage in Sacramento - Peer Specialist
Ryan Martin Coppage - NPI 1720241847
Ryan Martin Coppage is a Peer Specialist in Sacramento, California. Ryan Martin Coppage practices all healthcare services and medical treatments related to Peer Specialist. The NPI Number for Ryan Martin Coppage is 1720241847. The last update date is 2018-06-20.
Ryan Martin Coppage's current location address is 4343 Williamsbourgh Dr, Sacramento, California. You can contact this provider via phone number 9163953552. The mailing address for Ryan Martin Coppage is 4343 Williamsbourgh Dr, Sacramento, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ryan Martin Coppage |
|---|---|
| Address | 4343 Williamsbourgh Dr, Sacramento, California |
| Phone Number | 9163953552 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1720241847 |
|---|---|
| Provider Enumeration Date | 2008-07-09 |
| Last Updated Date | 2018-06-20 |
Provider Mailing Address Detail
| Address | 4343 Williamsbourgh Dr |
|---|---|
| City | Sacramento |
| State | California (CA) |
| Post Code | 95823 |
| Phone Number | 9163953552 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Peer Specialist |
|---|---|
| Taxonomy | 175T00000X |
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Definition: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
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What is the unique 10-digit identifier code issued to Ryan Martin Coppage by the Centers for Medicare & Medicaid Services?
The Ryan Martin Coppage has been assigned the NPI (National Provider Identifier) 1720241847 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Ryan Martin Coppage located?
The Ryan Martin Coppage is located at 4343 Williamsbourgh Dr, Sacramento, CA 95823.
What is Ryan Martin Coppage's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Ryan Martin Coppage is Peer Specialist, and the corresponding taxonomy classification code for this specialized field is 175T00000X.
On what date did the Ryan Martin Coppage receive the assignment of its 1720241847 from the Centers for Medicare & Medicaid Services?
The Ryan Martin Coppage was issued its 1720241847 by the Centers for Medicare & Medicaid Services on 2008-07-09.
As of what date were the details related to Ryan Martin Coppage most recently updated or revised?
The information pertaining to Ryan Martin Coppage, including its address, specialty, and other relevant details, was last updated or revised on 2018-06-20.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY