NPIMap

Organization Active NPI

State of Alaska

  • Public Health or Welfare Agency
  • Wasilla, AK
National Provider Identifier
1205958287
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
AK529 Issued in AK
Legal business name
STATE OF ALASKA
Practice address
3223 Palmer Wasilla Hwy
Suite 3
Wasilla, AK 99654-7236
Phone
(907) 352-6600
Fax
(907) 376-3096
NPI assigned
Apr 3, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Ms. Viola Jean Harosia, CNM
Title
Nurse Practioner
Phone
(907) 352-6650

Corporate family (same tax ID) 18

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

Practitioners 13

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

National Provider Directory

National Provider Directory
Tax ID family
Wasilla Public Health N (19 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X AK529 AK Primary

Addresses

NPPES NPI Registry

Primary practice location

3223 Palmer Wasilla Hwy
Suite 3
Wasilla, AK 99654-7236

Mailing address

3223 Palmer Wasilla Hwy
Suite 3
Wasilla, AK 99654-7236
Phone (907) 352-6600

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
NPO529PH0529MedicaidAK

Other names 1

NPPES NPI Registry
  • Mat-Su Public Health Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205958287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 PALMER WASILLA HWY",
            "address_2": "SUITE 3",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547236",
            "telephone_number": "907-352-6600",
            "fax_number": "907-376-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 PALMER WASILLA HWY",
            "address_2": "SUITE 3",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547236",
            "telephone_number": "907-352-6600",
            "fax_number": "907-376-3096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF ALASKA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAROSIA",
        "authorized_official_first_name": "VIOLA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "NURSE PRACTIONER",
        "authorized_official_telephone_number": "907-352-6650",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CNM"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "AK",
            "license": "AK529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NPO529PH0529",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mat-Su Public Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wasilla, AK

Sources for this page

  • 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.