NPIMap

Organization Active NPI

Reach, Inc.

  • Community/Behavioral Health Agency
  • Haines, AK
National Provider Identifier
1306960869
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
HC71271 Issued in AK
Legal business name
REACH, INC.
Practice address
23 Fort Seward Drive
Haines, AK 99827
Phone
(907) 766-3457
Fax
(907) 586-8226
NPI assigned
Mar 19, 2007
Last updated
Jul 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Authorized official

Name
Ricjard Fagundes
Title
Executive Director
Phone
(907) 586-8228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X HC71271 AK Primary

Addresses

Primary practice location

23 Fort Seward Drive
Haines, AK 99827

Mailing address

213 3Rd St
Juneau, AK 99801-1220
Phone (907) 586-8228

Other identifiers 1

IdentifierTypeStateIssuer
HC71271MedicaidAK

National Provider Directory

National Provider Directory
Tax ID family
Reach Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1306960869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 3RD ST",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998011220",
            "telephone_number": "907-586-8228",
            "fax_number": "907-586-8226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 FORT SEWARD DRIVE",
            "city": "HAINES",
            "state": "AK",
            "postal_code": "99827",
            "telephone_number": "907-766-3457",
            "fax_number": "907-586-8226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REACH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "FAGUNDES",
        "authorized_official_first_name": "RICJARD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "907-586-8228"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AK",
            "license": "HC71271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HC71271",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haines, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.