NPIMap

Organization Active NPI

Acca, Inc.

  • Multi-Specialty Clinic/Center
  • Fairbanks, AK
National Provider Identifier
1922212844
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
ACCA, INC.
Practice address
1020 Barnette St
Fairbanks, AK 99701-4502
Phone
(907) 456-4003
Fax
(907) 456-6214
NPI assigned
May 9, 2007
Last updated
Oct 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Authorized official

Name
Ms. Heidi Haas, MSML
Title
Executive Director
Phone
(907) 456-4003

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Developmentally Disabled Services Day Training Agency 251C00000X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1020 Barnette St
Fairbanks, AK 99701-4502

Mailing address

1020 Barnette St
Fairbanks, AK 99701-4502
Phone (907) 456-4003

Other identifiers 2

IdentifierTypeStateIssuer
CMG264MedicaidAK
GR0141MedicaidAK

Other names 1

  • Alaska Center for Children & Adults Other name

National Provider Directory

National Provider Directory

Locations

1020 Barnette St
Fairbanks, AK 99701
Phone (907) 456-4003

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1922212844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 BARNETTE ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014502",
            "telephone_number": "907-456-4003",
            "fax_number": "907-456-6214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 BARNETTE ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014502",
            "telephone_number": "907-456-4003",
            "fax_number": "907-456-6214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A",
        "authorized_official_last_name": "HAAS",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "907-456-4003",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSML"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CMG264",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0141",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alaska Center for Children & Adults",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fairbanks, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.