NPIMap

Organization Active NPI

Metlakatla Indian Community

  • Community/Behavioral Health Agency
  • Metlakatla, AK
National Provider Identifier
1497943898
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
METLAKATLA INDIAN COMMUNITY
Practice address
100 Upper Milton Ave
Metlakatla, AK 99926
Phone
(907) 886-6911
Fax
(907) 886-6913
NPI assigned
Oct 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Authorized official

Name
Ms. Karen D. Thompson
Title
Executive Director
Phone
(907) 886-6914

Specialties & licenses 1

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

Addresses

Primary practice location

100 Upper Milton Ave
Metlakatla, AK 99926

Mailing address

100 Upper Milton Ave.
Box 85
Metlakatla, AK 99926
Phone (907) 886-6914

Other names 1

  • Metlakatla Children's Intervention Project Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Metlakatla Indian Commu4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1497943898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 UPPER MILTON AVE.",
            "address_2": "BOX 85",
            "city": "METLAKATLA",
            "state": "AK",
            "postal_code": "99926",
            "telephone_number": "907-886-6914",
            "fax_number": "907-886-6913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 UPPER MILTON AVE",
            "city": "METLAKATLA",
            "state": "AK",
            "postal_code": "99926",
            "telephone_number": "907-886-6911",
            "fax_number": "907-886-6913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METLAKATLA INDIAN COMMUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "907-886-6914",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metlakatla Children's Intervention Project",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Metlakatla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.