North Slope Borough

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

800203AK Issued in AK

Legal business name

NORTH SLOPE BOROUGH

Practice address

1274 Agviq Street
Barrow, AK 99723

Phone

(907) 852-0362

Fax

(907) 852-7965

NPI assigned

Nov 21, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Randy Hoffbeck

Title

Chief of Staff

Phone

(907) 852-2611

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

North Slope Borough3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• North Slope Borough

  • Community Health Registered Nurse
  • Barrow, AK
  • NPI 1285028068
  NPD tax ID
• North Slope Borough

  • Community/Behavioral Health Agency
  • Barrow, AK
  • NPI 1821201492
  NPD tax ID

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339027200000",
    "number": "1366517112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1274 AGVIK STREET",
            "city": "BARROW",
            "state": "AK",
            "postal_code": "99723",
            "telephone_number": "907-852-0362",
            "fax_number": "907-852-7965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1274 AGVIQ STREET",
            "city": "BARROW",
            "state": "AK",
            "postal_code": "99723",
            "telephone_number": "907-852-0362",
            "fax_number": "907-852-7965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SLOPE BOROUGH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2012-06-07",
        "status": "A",
        "authorized_official_last_name": "HOFFBECK",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "CHIEF OF STAFF",
        "authorized_official_telephone_number": "907-852-2611",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AK",
            "license": "800203AK",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MH2378",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA2378",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bernadette Marie Modelo, RN
• Erin Narus, PHARM.D.
• Kelly Wynn Neiheiser, RN
• North Slope Borough
• North Slope Borough
• North Slope Borough
• Woo Kyung Park, PHARMD
• Donna J Patterson, RN
• Susan Peterson, RN, PHN
• David Potashnick, PA-C

• Community/Behavioral Health Agency in Barrow, AK
• Providers in Barrow, 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 Jun 7, 2012; 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.