NPIMap

Organization Active NPI

State of Alaska, Department of Administration

  • Medical Specialty Clinic/Center
  • Anchorage, AK
National Provider Identifier
1780833301
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
STATE OF ALASKA, DEPARTMENT OF ADMINISTRATION
Practice address
3601 C Street, WCFH, Specialty Clinics
Suite 322
Anchorage, AK 99503
Phone
(907) 269-3400
Fax
(907) 754-3425
NPI assigned
Sep 18, 2008
Last updated
Sep 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Authorized official

Name
Rebekah Morisse, RN, MPH
Title
Section Chief, Women's, Children's
Phone
(907) 334-2424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X NU Primary

Addresses

Primary practice location

3601 C Street, WCFH, Specialty Clinics
Suite 322
Anchorage, AK 99503

Mailing address

3601 C Street, WCFH, Specialty Clinics
Suite 322
Anchorage, AK 99503
Phone (907) 269-3400

Other names 1

  • WCFH Specialty Clinics Other name

National Provider Directory

National Provider Directory
Tax ID family
Wasilla Public Health N19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

Locations

3601 C St
Ste 322
Anchorage, AK 99503
Phone (907) 269-3400

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664496000000",
    "number": "1780833301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 C STREET, WCFH, SPECIALTY CLINICS",
            "address_2": "SUITE 322",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99503",
            "telephone_number": "907-269-3400",
            "fax_number": "907-754-3425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 C STREET, WCFH, SPECIALTY CLINICS",
            "address_2": "SUITE 322",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99503",
            "telephone_number": "907-269-3400",
            "fax_number": "907-754-3425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF ALASKA, DEPARTMENT OF ADMINISTRATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-18",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-29",
        "status": "A",
        "authorized_official_last_name": "MORISSE",
        "authorized_official_first_name": "REBEKAH",
        "authorized_official_title_or_position": "SECTION CHIEF, WOMEN'S, CHILDREN'S",
        "authorized_official_telephone_number": "907-334-2424",
        "authorized_official_credential": "RN, MPH"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WCFH Specialty Clinics",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "WCFH Specialty Clinics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 30, 2022; 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.