NPIMap

Organization Active NPI

Eastern Aleutian Tribes, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sand Point, AK
National Provider Identifier
1821290925
Registry record updated Apr 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
EASTERN ALEUTIAN TRIBES, INC.
Practice address
527 Main St.
Sand Point, AK 99661
Phone
(907) 383-3151
Fax
(907) 383-5688
NPI assigned
Jun 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2010

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

Authorized official

Name
Mr. Michael Christensen
Title
Executive Director
Phone
(907) 277-1440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X AK Primary

Addresses

Primary practice location

527 Main St.
Sand Point, AK 99661

Mailing address

3380 C St
Suite 100
Anchorage, AK 99503-3920
Phone (907) 277-1440

Other identifiers 1

IdentifierTypeStateIssuer
MH4238MedicaidAK

National Provider Directory

National Provider Directory
Tax ID family
Eastern Aleutian Tribes Inc5 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.

Locations

3380 C St
Ste 100
Anchorage, AK 99503
Phone (907) 277-1440

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272326400000",
    "number": "1821290925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3380 C ST",
            "address_2": "SUITE 100",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995033920",
            "telephone_number": "907-277-1440",
            "fax_number": "907-277-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 MAIN ST.",
            "city": "SAND POINT",
            "state": "AK",
            "postal_code": "99661",
            "telephone_number": "907-383-3151",
            "fax_number": "907-383-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN ALEUTIAN TRIBES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2010-04-27",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "907-277-1440",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MH4238",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sand Point, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; 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.