Organization Active NPI

The Arc of Anchorage

  • Community/Behavioral Health Agency
  • Anchorage, AK
National Provider Identifier
1134333743
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
THE ARC OF ANCHORAGE
Practice address
2211 Arca Dr
Anchorage, AK 99508-3462
Phone
(907) 277-6677
Fax
(907) 272-2161
NPI assigned
May 10, 2007
Last updated
Sep 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Authorized official

Name
Kimber Sanborn
Title
HR Manager
Phone
(907) 777-0154

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

2211 Arca Dr
Anchorage, AK 99508-3462

Mailing address

2211 Arca Dr
Anchorage, AK 99508-3462
Phone (907) 277-6677

Other identifiers 1

IdentifierTypeStateIssuer
MH6677MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260414003646 AK Part B Supplier - Clinic/Group Practice 3375617715 Receives reassigned benefits from 1 practitioner
Practice locations: Anchorage, AK

National Provider Directory

National Provider Directory
Tax ID family
The Arc of Anchorage6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

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": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1134333743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 ARCA DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995083462",
            "telephone_number": "907-277-6677",
            "fax_number": "907-272-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 ARCA DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995083462",
            "telephone_number": "907-277-6677",
            "fax_number": "907-272-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ARC OF ANCHORAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "SANBORN",
        "authorized_official_first_name": "KIMBER",
        "authorized_official_title_or_position": "HR MANAGER",
        "authorized_official_telephone_number": "907-777-0154"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MH6677",
            "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 Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.