Active NPI
State of Alaska, Department of H&SS, Division of Juvenile Justice
- Case Management Agency
- Juneau, AK
National Provider Identifier
1649490236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- STATE OF ALASKA, DEPARTMENT OF H&SS, DIVISION OF JUVENILE JUSTICE
- Practice address
- 240 Main St Ste 700
Juneau, AK 99801-2107 - Phone
- (907) 465-2112
- Fax
- (907) 465-2333
- NPI assigned
- Apr 26, 2007
- Organization subpart
- Yes
- Parent organization
- STATE OF ALASKA
Authorized official
NPPES NPI Registry- Name
- Mr. Stephen McComb
- Title
- Director
- Phone
- (904) 465-2112
Corporate family (same tax ID) 18
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National Provider Directory
National Provider Directory- Tax ID family
- Wasilla Public Health N
- Part of
- Wasilla Public Health N
Locations
240 Main St
Ste 700
Juneau, AK 99801
Phone (907) 465-2112
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
240 Main St Ste 700
Juneau, AK 99801-2107
Mailing address
PO Box 110635
Juneau, AK 99811-0635
Phone (907) 465-2112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 19, 2008.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1227052800000",
"number": "1649490236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 110635",
"city": "JUNEAU",
"state": "AK",
"postal_code": "998110635",
"telephone_number": "907-465-2112",
"fax_number": "907-465-2333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 MAIN ST STE 700",
"city": "JUNEAU",
"state": "AK",
"postal_code": "998012107",
"telephone_number": "907-465-2112",
"fax_number": "907-465-2333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STATE OF ALASKA, DEPARTMENT OF H&SS, DIVISION OF JUVENILE JUSTICE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "STATE OF ALASKA",
"enumeration_date": "2007-04-26",
"last_updated": "2008-11-19",
"status": "A",
"authorized_official_last_name": "MCCOMB",
"authorized_official_first_name": "STEPHEN",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "904-465-2112",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Nov 19, 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.