NPIMap

Organization Active NPI

South East Alaska Care Coordination

  • Case Management Agency
  • Juneau, AK
National Provider Identifier
1437288115
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
CM 549 Issued in AK
Legal business name
SOUTH EAST ALASKA CARE COORDINATION
Practice address
8541 E Valley CT
Juneau, AK 99801-8977
Phone
(907) 523-3019
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Suzan Marie FitzgeraldNPI 1699804351
Title
Care Coordinator
Phone
(907) 523-3019

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X CM 549 AK Primary

Addresses

Primary practice location

8541 E Valley CT
Juneau, AK 99801-8977

Mailing address

8541 E Valley CT
Juneau, AK 99801-8977
Phone (907) 523-3019

Other identifiers 1

IdentifierTypeStateIssuer
CM 549MedicaidAK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437288115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8541 E VALLEY CT",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998018977",
            "telephone_number": "907-523-3019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8541 E VALLEY CT",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998018977",
            "telephone_number": "907-523-3019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH EAST ALASKA CARE COORDINATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "SUZAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CARE COORDINATOR",
        "authorized_official_telephone_number": "907-523-3019"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "AK",
            "license": "CM 549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CM 549",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Juneau, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.