Cook Inlet Council on Alcohol and Drug Abuse

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

COOK INLET COUNCIL ON ALCOHOL AND DRUG ABUSE

Practice address

126 W Pioneer Ave Ste 11
Homer, AK 99603-7564

Phone

(907) 235-8001

Fax

(907) 235-8099

NPI assigned

Apr 10, 2007

Last updated

Aug 22, 2020By 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

Mr. Henry Novak, BA

Title

Executive Director

Phone

(907) 283-3658

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Cook Inlet Council on Alcohol and Drug Abuse5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• Cook Inlet Council on Alcohol and Drug Abuse

  • Community/Behavioral Health Agency
  • Kenai, AK
  • NPI 1174171417
  NPD tax ID
• Cook Inlet Council on Alcohol and Drug Abuse

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Kenai, AK
  • NPI 1174792972
  NPD tax ID
• Cook Inlet Council on Alcohol and Drug Abuse

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Kenai, AK
  • NPI 1396897419
  NPD tax ID
• Cook Inlet Council on Alcohol and Drug Abuse

  • Community/Behavioral Health Agency
  • Homer, AK
  • NPI 1740838085
  NPD tax ID

Locations

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679796528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 882",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996110882",
            "telephone_number": "907-283-3658",
            "fax_number": "907-283-5046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 W PIONEER AVE STE 11",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037564",
            "telephone_number": "907-235-8001",
            "fax_number": "907-235-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOK INLET COUNCIL ON ALCOHOL AND DRUG ABUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NOVAK",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "907-283-3658",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA8820",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clinic of Chiropractic Health, LLC
• Megan Connell, RBT
• Lillian Rose Connor, PTA
• Michael J Connors, O.D.
• Sean Conway
• Cook Inlet Council on Alcohol and Drug Abuse
• Christina Cooper
• Sharron Cotogno
• Patricia Louise Cue, MPH, RD, LD
• Jessica Daffron

• Substance Use Disorder Rehabilitation Clinic/Center in Homer, AK
• Providers in Homer, AK by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Alaska

• 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.