NPIMap

Organization Active NPI

The Salvation Army, a California Corporation

  • Community/Behavioral Health Agency
  • Anchorage, AK
National Provider Identifier
1366087108
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
THE SALVATION ARMY, A CALIFORNIA CORPORATION
Practice address
3600 East 20TH Avenue
Anchorage, AK 99508
Phone
(907) 339-3410
Fax
(907) 276-2611
NPI assigned
Nov 15, 2019
Organization subpart
Yes
Parent organization
THE SALVATION ARMYA CALIFORNIA CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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

Authorized official

Name
Peter Pemberton
Title
Alaska Division, Secretary for Busi
Phone
(907) 339-3410

Specialties & licenses 1

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

Addresses

Primary practice location

3600 East 20TH Avenue
Anchorage, AK 99508

Mailing address

143 East 9TH Avenue
Anchorage, AK 99501
Phone (907) 339-3410

Other identifiers 1

IdentifierTypeStateIssuer
1696789MedicaidAK

Other names 1

  • Clitheroe Center Outpatient Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Salvation Army a California Corp23 organizations share this tax ID, including this one
Part of
The Salvation Army a California Corp

Other organizations with this tax ID 22

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

View all 22

Locations

3600 E 20th Ave
Anchorage, AK 99508
Phone (907) 279-0522

NPI Registry JSON

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

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574121600000",
    "number": "1366087108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 EAST 9TH AVENUE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99501",
            "telephone_number": "907-339-3410",
            "fax_number": "907-276-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 EAST 20TH AVENUE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99508",
            "telephone_number": "907-339-3410",
            "fax_number": "907-276-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SALVATION ARMY, A CALIFORNIA CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE SALVATION ARMYA CALIFORNIA CORP",
        "enumeration_date": "2019-11-15",
        "last_updated": "2019-11-19",
        "status": "A",
        "authorized_official_last_name": "PEMBERTON",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "ALASKA DIVISION, SECRETARY FOR BUSI",
        "authorized_official_telephone_number": "907-339-3410"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1696789",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clitheroe Center Outpatient",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; 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.