Alaska Island Community Services
Organization Active NPI Community Health Clinic/Center · PT Protection, AK
NPI 1710033501 · NPPES record last updated Jul 10, 2007
Key facts
- NPI
- 1710033501
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Health Clinic/Center 261QC1500X
- Legal business name
- ALASKA ISLAND COMMUNITY SERVICES
- Practice address
- #1 Main
PT Protection, AK 99927 - Phone
- (907) 874-4700
- Fax
- (907) 874-4719
- NPI assigned
- Jan 26, 2007
- Organization subpart
- No
Authorized official
- Name
- Mark T Walker, MSW
- Title
- Executive Director
- Phone
- (907) 874-4700
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | Yes |
Addresses
Primary practice location
#1 Main
PT Protection, AK 99927
Mailing address
PO Box 1231
Wrangell, AK 99929-1231
Phone (907) 874-4700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RH542FQ | Medicaid | AK |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.