NPIMap

Organization Active NPI

JC Faith Open Arms 1

  • Adult Mental Health Clinic/Center
  • Anchorage, AK
National Provider Identifier
1922436732
Registry record updated Oct 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
JC FAITH OPEN ARMS 1
Practice address
1023 State St Unit a
Anchorage, AK 99504-2038
Phone
(907) 332-4730
Fax
(907) 332-4737
NPI assigned
Oct 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2013

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

Authorized official

Name
Joyce Mewborn
Title
Owner
Phone
(907) 602-0818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

1023 State St Unit a
Anchorage, AK 99504-2038

Mailing address

PO Box 212671
Anchorage, AK 99521-2671
Phone (907) 602-0818

Other names 1

  • owner Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
JC Faith Open Arms 15 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.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1381795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381795200000",
    "number": "1922436732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 212671",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995212671",
            "telephone_number": "907-602-0818",
            "fax_number": "907-332-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 STATE ST UNIT A",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995042038",
            "telephone_number": "907-332-4730",
            "fax_number": "907-332-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JC FAITH OPEN ARMS 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-15",
        "last_updated": "2013-10-15",
        "status": "A",
        "authorized_official_last_name": "MEWBORN",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-602-0818"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "owner",
            "code": "4",
            "type": "Former Legal Business 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 Oct 15, 2013; 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.