NPIMap

Organization Active NPI

Senior Citizens of Kodiak, Inc.

  • Alzheimer Center (Dementia Center)
  • Kodiak, AK
National Provider Identifier
1275672370
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Alzheimer Center (Dementia Center)Taxonomy code 311500000X
License
CMG249 Issued in AK
Legal business name
SENIOR CITIZENS OF KODIAK, INC.
Practice address
302 Erskine Ave
Kodiak, AK 99615-6341
Phone
(907) 486-6181
Fax
(907) 486-4503
NPI assigned
Feb 5, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Patricia Branson
Title
Executive Director
Phone
(907) 486-6181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Alzheimer Center (Dementia Center) 311500000X CMG249 AK Primary

Addresses

Primary practice location

302 Erskine Ave
Kodiak, AK 99615-6341

Mailing address

302 Erskine Ave
Kodiak, AK 99615-6341
Phone (907) 486-6181

National Provider Directory

National Provider Directory

Locations

302 Erskine Ave
Kodiak, AK 99615
Phone (907) 486-2203

Practitioners & affiliated clinicians

Practitioners 5

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": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275672370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 ERSKINE AVE",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996156341",
            "telephone_number": "907-486-6181",
            "fax_number": "907-486-4503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 ERSKINE AVE",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996156341",
            "telephone_number": "907-486-6181",
            "fax_number": "907-486-4503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CITIZENS OF KODIAK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRANSON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "907-486-6181",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "AK",
            "license": "CMG249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kodiak, 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.