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NPI Code Detail

MEDICARE: COLE THORNE

MEDICARE:   COLE  THORNE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1790632875
Entity Type Code : Individual
Provider Name (Legal Business Name) : COLE THORNE
Provider Business Mailing Address
First Line : 7033 E TUDOR RD
Second Line :
City : ANCHORAGE
State : AK
Zip : 99507-1262
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4320 DIPLOMACY DR
Second Line :
City : ANCHORAGE
State : AK
Zip : 99508-5925
Country : US
Telephone Number : 907-729-3300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2026
Last Update Date : 03/16/2026

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Directions to “ COLE THORNE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.