Polaris House Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

914750 Issued in AK

Legal business name

POLARIS HOUSE INC.

Practice address

434 Willoughby Ave
Juneau, AK 99801-1724

Phone

(907) 780-6775

Fax

(907) 780-6774

NPI assigned

May 2, 2013

Organization subpart

No

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

Authorized official

Name

Dorothy Lucille Green

Title

Executive Director

Phone

(907) 780-6775

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1367452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367452800000",
    "number": "1295170348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21661",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998021661",
            "telephone_number": "907-780-6775",
            "fax_number": "907-780-6774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 WILLOUGHBY AVE",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998011724",
            "telephone_number": "907-780-6775",
            "fax_number": "907-780-6774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLARIS HOUSE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-02",
        "last_updated": "2013-05-02",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "LUCILLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "907-780-6775"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AK",
            "license": "914750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina M Pleasants, FNP
• Virginia Plett
• Casey Ploof
• Kristina Poggie
• Alix Polanski, LBSW
• Crystal Pool
• Kristy Charleen Poole, RN
• Janessa Porter
• Diana K Portner
• Aleene Poulsen, RD, LD

• Community/Behavioral Health Agency in Juneau, AK
• Providers in Juneau, AK by specialty
• Community/Behavioral Health Agency in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; 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.