NPIMap

Organization Active NPI

The Salvation Army, a California Corporation

Doing business as Clitheroe Men's Residential Center

  • Community/Behavioral Health Agency
  • Anchorage, AK
National Provider Identifier
1518503267
Registry record updated Nov 18, 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
Doing business as
Clitheroe Men's Residential Center
Practice address
8000 West End Road
Anchorage, AK 99519
Phone
(907) 339-3410
Fax
(907) 276-2611
NPI assigned
Nov 18, 2019
Last updated
Nov 18, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
THE SALVATION ARMY, A CALIFORNIA CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 18, 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

8000 West End Road
Anchorage, AK 99519

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
1696793MedicaidAK

Other names 1

  • Clitheroe Men's Residential Center 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

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574035200000",
    "number": "1518503267",
    "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": "8000 WEST END ROAD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99519",
            "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 ARMY, A CALIFORNIA CORPORATION",
        "enumeration_date": "2019-11-18",
        "last_updated": "2019-11-18",
        "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": "1696793",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clitheroe Men's Residential Center",
            "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 18, 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.