Organization Active NPI

North Star Council on Aging, Inc.

  • Community/Behavioral Health Agency
  • Fairbanks, AK
National Provider Identifier
1316247091
Registry record updated Oct 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
945485 Issued in AK
Legal business name
NORTH STAR COUNCIL ON AGING, INC.
Practice address
1424 Moore St
Fairbanks, AK 99701-5716
Phone
(907) 452-1735
NPI assigned
Oct 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2010

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

Authorized official

Name
Julie M McCumby
Title
Director
Phone
(907) 452-1735

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 945485 AK Primary

Addresses

Primary practice location

1424 Moore St
Fairbanks, AK 99701-5716

Mailing address

1424 Moore St
Fairbanks, AK 99701-5716
Phone (907) 452-1735

National Provider Directory

National Provider Directory

Locations

1424 Moore St
Fairbanks, AK 99701
Phone (907) 452-1735

NPI Registry JSON

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288137600000",
    "number": "1316247091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 MOORE ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015716",
            "telephone_number": "907-452-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 MOORE ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015716",
            "telephone_number": "907-452-1735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STAR COUNCIL ON AGING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-27",
        "last_updated": "2010-10-27",
        "status": "A",
        "authorized_official_last_name": "MCCUMBY",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "907-452-1735"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AK",
            "license": "945485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; 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.