NARCOTIC DRUG TREATMENT CENTER, INC. (NPI# 1063044659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063044659 |
| Entity Type | Organization |
| Organization Name | NARCOTIC DRUG TREATMENT CENTER, INC. |
| Practice Address |
1015 E 6th Ave Anchorage AK 99501-2748 |
| Practice Telephone | 9072766430 |
| Practice Fax Number | 9072766430 |
| Mailing Telephone | 9072766430 |
| Mailing Fax Number | 9072766430 |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2020-02-11 |
| Authorized Official Name | KRISTINA FLORES (AR/HR RECORDS MANAGER) |
| Authorized Official Telephone | 9072766430 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 1698738 | 05 |
| Other Name | Type Code |
|---|---|
| Center for Drug Problems | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932244712 | Narcotic Drug Treatment Center, Inc. | Clinic/Center | 1015 E 6th Ave, Anchorage, AK 99501-2748 | 2007-02-20 |
| Street Address |
1015 E 6TH AVE |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99501-2748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932244712 | Narcotic Drug Treatment Center, Inc. | Clinic/Center | 1015 E 6th Ave, Anchorage, AK 99501-2748 | 2007-02-20 |
| 1215541743 | Brittany Britch | Counselor | 1015 E 6th Ave, Anchorage, AK 99501-2748 | 2020-09-02 |
| 1679185011 | Karin Shannon | Counselor | 1015 E 6th Ave, Anchorage, AK 99501-2748 | 2020-08-18 |
| 1871105213 | Michael Shannon | Licensed Practical Nurse | 1015 E 6th Ave, Anchorage, AK 99501-2748 | 2020-08-18 |
| 1972164101 | Richard Collins | Counselor | 1015 E 6th Ave, Anchorage, AK 99501-2748 | 2019-06-27 |
| 1073174298 | Mary Ellen Degange | Registered Nurse | 1015 E 6th Ave, Anchorage, AK 99501-2748 | 2019-06-27 |
| 1427619642 | Summer Maseuli | Licensed Practical Nurse | 1015 E 6th Ave, Anchorage, AK 99501-2748 | 2019-06-27 |
| 1932760147 | Cynthia Ellen Aiken | Psychologist | 1015 E 6th Ave, Anchorage, AK 99501-2748 | 2019-06-27 |
| 1356902589 | Martin Theulen | Counselor | 1015 E 6th Ave, Anchorage, AK 99501-2748 | 2019-06-27 |
| 1134780356 | Shantay Brown | Registered Nurse | 1015 E 6th Ave, Anchorage, AK 99501-2748 | 2019-06-27 |
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| 1033755798 | The Salvation Army, A California Corporation | Community/Behavioral Health | 1700 A Street, Anchorage, AK 99501 | 2019-11-18 |
| 1740841170 | Christina Lynne Arent Cook | Registered Nurse | 8000 West End Rd, Anchorage, AK 99501 | 2019-06-26 |
| 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 |
| 1497235642 | Beth Alta Fletcher | Specialist | 737 W 5th Ave Ste 202, Anchorage, AK 99501 | 2018-08-17 |
| 1699289645 | Jae Won Lee | Dentist | 726 E. 9th Avenue, Anchorage, AK 99501 | 2017-11-29 |
| 1649797796 | Seong Guy Hyung | Dentist | 726 E 9th Avenue, Anchorage, AK 99501 | 2017-08-29 |
| 1871952705 | Warren Anderson | Massage Therapist | 737 West 5th Avenue Suite 202, Anchorage, AK 99501 | 2016-02-20 |
| 1780072603 | Epoch - Alaska Limited Liability Company | General Practice | 3074 Mt. View Drive, Suite 193, Anchorage, AK 99501 | 2014-12-30 |
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| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932244712 | Narcotic Drug Treatment Center, Inc. | Clinic/Center | 1015 E 6th Ave, Anchorage, AK 99501-2748 | 2007-02-20 |
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| 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.