Ashley Brand

Individual provider Active NPI Case Manager/Care Coordinator · Bethel, AK

NPI 1124779954 · NPPES record last updated Jan 13, 2022

Key facts

NPI
1124779954
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
839 Chief Eddie Hoffman Highway
Bethel, AK 99559
Phone
(907) 543-2740
Fax
(907) 543-6729
NPI assigned
Jan 13, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

839 Chief Eddie Hoffman Highway
Bethel, AK 99559

Mailing address

PO Box 528
Bethel, AK 99559-0528
Phone (907) 543-2740

Other identifiers

IdentifierTypeStateIssuer
1020986MedicaidAK

Other providers in Bethel, AK

All providers in Bethel, AK · Case Manager/Care Coordinator in Alaska

Sources for this page

Verify at the official NPI Registry.