Ninilchik Senior Citizens, Inc.

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

License

724049 Issued in AK

Legal business name

NINILCHIK SENIOR CITIZENS, INC.

Practice address

66265 Aspen Ave
Ninilchik, AK 99639-0422

Phone

(907) 567-3988

Fax

(907) 567-3968

NPI assigned

Feb 23, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. J Welch, TH.B.

Title

Director

Phone

(907) 567-3988

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ninilchik Senior Center Other name

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093840324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39422",
            "city": "NINILCHIK",
            "state": "AK",
            "postal_code": "996390422",
            "telephone_number": "907-567-3988",
            "fax_number": "907-567-3968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66265 ASPEN AVE",
            "city": "NINILCHIK",
            "state": "AK",
            "postal_code": "996390422",
            "telephone_number": "907-567-3988",
            "fax_number": "907-567-3968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NINILCHIK SENIOR CITIZENS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "907-567-3988",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "TH.B."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "AK",
            "license": "724049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HC3828",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ninilchik Senior Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Sarah C Spencer, DO
• Elizabeth Marie Spofford, LMT

• Voluntary or Charitable Agency in Ninilchik, AK
• Providers in Ninilchik, AK by specialty
• Voluntary or Charitable Agency in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.