NPIMap

Organization Active NPI

The Salvation Army Clitheroe Center - Dual Diagnosis

  • Substance Abuse Rehabilitation Facility
  • Anchorage, AK
National Provider Identifier
1124147905
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
11806 Issued in AK
Legal business name
THE SALVATION ARMY CLITHEROE CENTER - DUAL DIAGNOSIS
Practice address
8000 W End Rd
Anchorage, AK 99519
Phone
(907) 243-1181
NPI assigned
Mar 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2007

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

Authorized official

Name
Adelane M Kelly
Title
Divisional Finance Director
Phone
(907) 339-3406

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 11806 AK Primary

Addresses

Primary practice location

8000 W End Rd
Anchorage, AK 99519

Mailing address

143 E 9TH Ave
Anchorage, AK 99501-3618
Phone (907) 339-3406

Other identifiers 1

IdentifierTypeStateIssuer
DA4465MedicaidAK

National Provider Directory

National Provider Directory

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188259200000",
    "number": "1124147905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 E 9TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995013618",
            "telephone_number": "907-339-3406",
            "fax_number": "907-276-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 W END RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99519",
            "telephone_number": "907-243-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SALVATION ARMY CLITHEROE CENTER - DUAL DIAGNOSIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-08-28",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "ADELANE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIVISIONAL FINANCE DIRECTOR",
        "authorized_official_telephone_number": "907-339-3406"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "AK",
            "license": "11806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA4465",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; 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.