NPIMap

Organization Active NPI

Alaska Island Community Services

  • Developmentally Disabled Services Day Training Agency
  • Wrangell, AK
National Provider Identifier
1891915849
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
ALASKA ISLAND COMMUNITY SERVICES
Practice address
333 Church St
Wrangell, AK 99929-1231
Phone
(907) 874-2373
Fax
(907) 874-2576
NPI assigned
May 1, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mark Walker, MSW
Title
Executive Director
Phone
(907) 874-2373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

333 Church St
Wrangell, AK 99929-1231

Mailing address

PO Box 1231
Wrangell, AK 99929-1231
Phone (907) 874-2373

Other identifiers 1

IdentifierTypeStateIssuer
CMG543MedicaidAK

National Provider Directory

National Provider Directory
Tax ID family
Alaska Island Community Services6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891915849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1231",
            "city": "WRANGELL",
            "state": "AK",
            "postal_code": "999291231",
            "telephone_number": "907-874-2373",
            "fax_number": "907-874-2576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 CHURCH ST",
            "city": "WRANGELL",
            "state": "AK",
            "postal_code": "999291231",
            "telephone_number": "907-874-2373",
            "fax_number": "907-874-2576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALASKA ISLAND COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "907-874-2373",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CMG543",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wrangell, AK

Sources for this page

  • 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.