Cook Inlet Council on Alcohol and Drug Abuse

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

261QR0405X Issued in AK

Legal business name

COOK INLET COUNCIL ON ALCOHOL AND DRUG ABUSE

Practice address

10200 Kenai Spur Hwy
Kenai, AK 99611-7807

Phone

(907) 283-3658

Fax

(907) 283-5046

NPI assigned

Feb 26, 2008

Last updated

Feb 26, 2008By 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

Mr. Henry Novak

Title

Executive Director

Phone

(907) 283-3658

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Cook Inlet Council on Alcohol and Drug Abuse5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• Cook Inlet Council on Alcohol and Drug Abuse

  • Community/Behavioral Health Agency
  • Kenai, AK
  • NPI 1174171417
  NPD tax ID
• Cook Inlet Council on Alcohol and Drug Abuse

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Kenai, AK
  • NPI 1396897419
  NPD tax ID
• Cook Inlet Council on Alcohol and Drug Abuse

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Homer, AK
  • NPI 1679796528
  NPD tax ID
• Cook Inlet Council on Alcohol and Drug Abuse

  • Community/Behavioral Health Agency
  • Homer, AK
  • NPI 1740838085
  NPD tax ID

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1174792972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 882",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996110882",
            "telephone_number": "907-283-3658",
            "fax_number": "907-283-5046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 KENAI SPUR HWY",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996117807",
            "telephone_number": "907-283-3658",
            "fax_number": "907-283-5046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOK INLET COUNCIL ON ALCOHOL AND DRUG ABUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "NOVAK",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "907-283-3658",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "AK",
            "license": "261QR0405X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396897419",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679796528",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Compassionate Care Coordination & Planning LLC
• Alicia Marie Connolly, PT, DPT
• Consumer Care Network
• Consumer Care Network Inc
• Cook Inlet Council on Alcohol and Drug Abuse
• Cook Inlet Council on Alcohol and Drug Abuse
• Sarah Madison Coon
• Cooper Rehabilitation and Wellness, LLC
• Shawna Lynn Cooper, MPT
• William L Cooper, M.D.

• Substance Use Disorder Rehabilitation Clinic/Center in Kenai, AK
• Providers in Kenai, AK by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.