Community Connections

Organization Active NPI Case Management Agency · Craig, AK

NPI 1316120488 · NPPES record last updated Dec 12, 2007

Key facts

NPI
1316120488
Entity type
Organization (NPI type 2)
Primary specialty
Case Management Agency 251B00000X
License
292852 (AK)
Legal business name
COMMUNITY CONNECTIONS
Practice address
1 Easy Street
Craig, AK 99921
Phone
(907) 826-3891
Fax
(907) 826-3892
NPI assigned
Dec 12, 2007
Organization subpart
Yes
Parent organization (as reported)
COMMUNITY CONNECTIONS

Authorized official

Name
Bess Clark
Title
Executive Director
Phone
(907) 225-7825

Corporate family (same tax ID) 12

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

Practitioners 6

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

National Provider Directory

Tax ID family
Community Connections Inc (13 organizations share this tax ID)
Part of
Community Connections Inc

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 292852 AK Yes

Addresses

Primary practice location

1 Easy Street
Craig, AK 99921

Mailing address

201 Deermount St
Ketchikan, AK 99901-6649
Phone (907) 225-7825

Other identifiers

IdentifierTypeStateIssuer
CMG7191MedicaidAK

Other providers in Craig, AK

All providers in Craig, AK · Case Management Agency in Alaska

Sources for this page

Verify at the official NPI Registry.