Organization Active NPI

Easter Seals Alaska

  • Case Management Agency
  • Fairbanks, AK
National Provider Identifier
1063663912
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
280429 Issued in AK
Legal business name
EASTER SEALS ALASKA
Practice address
301 Cushman St
Suite 200
Fairbanks, AK 99701-4629
Phone
(907) 452-5126
Fax
(907) 452-5157
NPI assigned
Oct 8, 2008
Last updated
Oct 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. V Gutierrez-Osborne
Title
Ceo
Phone
(907) 277-7325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 280429 AK Primary

Addresses

Primary practice location

301 Cushman St
Suite 200
Fairbanks, AK 99701-4629

Mailing address

301 Cushman St
Suite 200
Fairbanks, AK 99701-4629
Phone (907) 452-5126

National Provider Directory

National Provider Directory
Tax ID family
Easter Seals Alaska3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

301 Cushman St
Ste 200
Fairbanks, AK 99701
Phone (907) 452-5126

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1063663912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 CUSHMAN ST",
            "address_2": "SUITE 200",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014629",
            "telephone_number": "907-452-5126",
            "fax_number": "907-452-5157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 CUSHMAN ST",
            "address_2": "SUITE 200",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014629",
            "telephone_number": "907-452-5126",
            "fax_number": "907-452-5157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTER SEALS ALASKA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-08",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ-OSBORNE",
        "authorized_official_first_name": "V",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "907-277-7325",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "AK",
            "license": "280429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.