THE SALVATION ARMY, A CALIFORNIA CORPORATION


Address: 1700 A Street, Anchorage, AK 99501
Phone: 9073393410

THE SALVATION ARMY, A CALIFORNIA CORPORATION (NPI# 1033755798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033755798
Entity Type Organization
Organization Name THE SALVATION ARMY, A CALIFORNIA CORPORATION
Practice Address 1700 A Street
Anchorage
AK 99501
Mailing Address 143 East 9th Avenue
Anchorage
AK 99501
Practice Telephone 9073393410
Practice Fax Number 9072762611
Mailing Telephone 9073393410
Mailing Fax Number 9072762611
Enumeration Date 2019-11-18
Last Update Date 2019-11-18
Authorized Official Name PETER PEMBERTON (ALASKA DIVISION, SECRETARY FOR BUSI)
Authorized Official Telephone 9073393410
Is Organization Subpart Y
Parent Organization Name THE SALVATION ARMY, A CALIFORNIA CORPORATION

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Other Provider Identifier

State Issuer Identifier Type Code
AK 1696787 05

Other Provider/Organization Names

Other Name Type Code
Clitheroe Women's Residential Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1366087108 The Salvation Army, A California Corporation Community/Behavioral Health 3600 East 20th Avenue, Anchorage, AK 99508 2019-11-15
1518503267 The Salvation Army, A California Corporation Community/Behavioral Health 8000 West End Road, Anchorage, AK 99519 2019-11-18

Office Location

Street Address 1700 A STREET
City ANCHORAGE
State AK
Zip Code 99501

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1033770672 Kathy Eileen Mailelle Behavior Technician 8000 West End Road, Anchorage, AK 99501 2019-06-25
1306312574 Patricia Estella Gould Marriage & Family Therapist 731 N St, Anchorage, AK 99501 2018-10-15
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700483781 Anchorage Community Mental Health Services, Inc Community/Behavioral Health 704 W 26th Ave, Anchorage, AK 99503-2532 2020-10-03
1184259855 Alaska Youth and Family Network Community/Behavioral Health 740 Communications Ave, Anchorage, AK 99503-6000 2020-03-03
1366087108 The Salvation Army, A California Corporation Community/Behavioral Health 3600 East 20th Avenue, Anchorage, AK 99508 2019-11-15
1639722069 Southcentral Foundation Community/Behavioral Health 4175 Tudor Centre Dr, Anchorage, AK 99508-5917 2019-07-24
1659924025 Southcentral Foundation Community/Behavioral Health 4341 Tudor Centre Dr Ste 300, Anchorage, AK 99508-5904 2019-07-24
1558878231 Pinnacle Community Health, LLC Community/Behavioral Health 8080 Opal Cir, Anchorage, AK 99502-4542 2018-01-04
1497272470 David Root Community/Behavioral Health 207 E Northern Lights Blvd Ste 212, Anchorage, AK 99503-2731 2017-08-29
1306393012 Deon Burns Community/Behavioral Health 12725 Landmark St Apt B, Anchorage, AK 99515-3818 2016-09-10
1386199339 Pcr Alaska LLC Community/Behavioral Health 1413 W 31st Ave, Anchorage, AK 99503-3624 2016-08-19
1780035683 A Listening Ear LLC Community/Behavioral Health 8652 Swiss Pl, Anchorage, AK 99507-3655 2016-06-22
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Competitor

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City ANCHORAGE
Zip Code 99501

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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