Alaska Clinical Management Services. LLC.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

744662 Issued in AK

Legal business name

ALASKA CLINICAL MANAGEMENT SERVICES. LLC.

Practice address

472 N Main Street, Suite a
Wasilla, AK 99654

Phone

(907) 864-9080

Fax

(907) 864-9070

NPI assigned

Apr 8, 2008

Last updated

Aug 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Barbara Ann Mistler, RN

Title

Administrator

Phone

(907) 864-9080

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1366615759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "472 N MAIN ST STE A",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547018",
            "telephone_number": "907-864-9080",
            "fax_number": "907-864-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "472 N MAIN STREET, SUITE A",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "99654",
            "telephone_number": "907-864-9080",
            "fax_number": "907-864-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALASKA CLINICAL MANAGEMENT SERVICES. LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "MISTLER",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-864-9080",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AK",
            "license": "744662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Home Health Agency in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.