COOK INLET COUNCIL ON ALCOHOL AND DRUG ABUSE (NPI# 1174792972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174792972 |
| Entity Type | Organization |
| Organization Name | COOK INLET COUNCIL ON ALCOHOL AND DRUG ABUSE |
| Practice Address |
10200 Kenai Spur Hwy Kenai AK 99611-7807 |
| Mailing Address |
Po Box 882 Kenai AK 99611-0882 |
| Practice Telephone | 9072833658 |
| Practice Fax Number | 9072835046 |
| Mailing Telephone | 9072833658 |
| Mailing Fax Number | 9072835046 |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2008-02-26 |
| Authorized Official Name | MR. HENRY NOVAK (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9072833658 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
261QR0405X | AK | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 1679796528 | 05 | |
| AK | 1396897419 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740838085 | Cook Inlet Council On Alcohol and Drug Abuse | Community/Behavioral Health | 1230 Ocean Dr Unit 1, Homer, AK 99603-7911 | 2019-08-29 |
| 1679796528 | Cook Inlet Council On Alcohol and Drug Abuse | Clinic/Center | 126 W Pioneer Ave Ste 11, Homer, AK 99603-7564 | 2007-04-10 |
| 1396897419 | Cook Inlet Council On Alcohol and Drug Abuse | Clinic/Center | 10200 Kenai Spur Hwy, Kenai, AK 99611-7807 | 2007-01-17 |
| 1174171417 | Cook Inlet Council On Alcohol and Drug Abuse | Community/Behavioral Health | 10200 Kenai Spur Hwy, Kenai, AK 99611-7807 | 2019-08-29 |
| Street Address |
10200 KENAI SPUR HWY |
| City | KENAI |
| State | AK |
| Zip Code | 99611-7807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396897419 | Cook Inlet Council On Alcohol and Drug Abuse | Clinic/Center | 10200 Kenai Spur Hwy, Kenai, AK 99611-7807 | 2007-01-17 |
| 1760089528 | Amanda M Hanson | Counselor | 10200 Kenai Spur Hwy, Kenai, AK 99611-7807 | 2020-10-05 |
| 1174173405 | Kimberly Ann Novak | Peer Specialist | 10200 Kenai Spur Hwy, Kenai, AK 99611-7807 | 2019-09-18 |
| 1174171417 | Cook Inlet Council On Alcohol and Drug Abuse | Community/Behavioral Health | 10200 Kenai Spur Hwy, Kenai, AK 99611-7807 | 2019-08-29 |
| 1730740044 | Hailey A Bouton | Case Manager/Care Coordinator | 10200 Kenai Spur Hwy, Kenai, AK 99611-7807 | 2019-06-26 |
| 1376104687 | Diane Carol Ogilvie | Counselor | 10200 Kenai Spur Hwy, Kenai, AK 99611-7807 | 2019-06-26 |
| 1285299792 | Joni Gray | Counselor | 10200 Kenai Spur Hwy, Kenai, AK 99611-7807 | 2019-05-09 |
| 1528623741 | Spring E Larrow | Counselor | 10200 Kenai Spur Hwy, Kenai, AK 99611-7807 | 2019-05-02 |
| 1053974725 | Jill Hildebrandt | Social Worker | 10200 Kenai Spur Hwy, Kenai, AK 99611-7807 | 2019-04-18 |
| 1144782657 | Alecia Ann Gottlob | Counselor | 10200 Kenai Spur Hwy, Kenai, AK 99611-7807 | 2019-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649803099 | Guardian Flight LLC | Ambulance | 145 Granite Point Ct, Kenai, AK 99611 | 2020-02-13 |
| 1104482967 | James Daniel Hudson | Massage Therapist | 601 Frontage Rd Suite 103, Kenai, AK 99611 | 2019-05-16 |
| 1255996351 | Shelly Lynn Niblack | Counselor | 10200, Kenai Sour Hwy, Kenai, AK 99611 | 2019-05-03 |
| 1780142042 | Odyssey Family Practice LLC | Clinic/Center | 11595 Kenai Spur Highway, Kenai, AK 99611 | 2019-03-06 |
| 1043793656 | Jerri Ann Chivers | Massage Therapist | 10815 Kenai Spur Highway, Kenai, AK 99611 | 2018-09-10 |
| 1003320060 | Christine G. Morin | Massage Therapist | 1608 Tanga Circle, Kenai, AK 99611 | 2017-11-28 |
| 1013433259 | Amanda Mckinley | Registered Nurse | 630 Barnacle Way Suite A, Kenai, AK 99611 | 2017-08-18 |
| 1780132753 | Kenai Peninsula Imaging Center LLC | Clinic/Center | 100 Trading Bay Rd Ste 7, Kenai, AK 99611 | 2016-09-19 |
| 1376905000 | Savana Long | Licensed Practical Nurse | 1700 Cone Avenue, Kenai, AK 99611 | 2016-03-22 |
| 1477977684 | Jac Enterprises, Inc. | Assisted Living Facility | 701 North Forest Dr, Kenai, AK 99611 | 2014-02-07 |
| Find all providers in zip 99611 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396897419 | Cook Inlet Council On Alcohol and Drug Abuse | Clinic/Center | 10200 Kenai Spur Hwy, Kenai, AK 99611-7807 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295235471 | Therapy Solutions of Alaska | Clinic/Center | 3300 C St, Anchorage, AK 99503-3942 | 2018-02-14 |
| 1134373640 | Edger Nollner Health Center | Clinic/Center | 77 Antoski Ave., Galena, AK 99741 | 2008-11-11 |
| 1306969647 | Norton Sound Health Corp | Clinic/Center | 5th and Division, Bhs, Nome, AK 99762 | 2007-04-10 |
| 1679796528 | Cook Inlet Council On Alcohol and Drug Abuse | Clinic/Center | 126 W Pioneer Ave Ste 11, Homer, AK 99603-7564 | 2007-04-10 |
| 1346369493 | The Salvation Army Clitheroe Center | Clinic/Center | 1015 E. 6th Ave., Anchorage, AK 99501 | 2007-03-28 |
| 1437273000 | Cook Inlet Tribal Council, Inc | Clinic/Center | 3600 San Jeronimo Drive, Anchorage, AK 99508-2869 | 2007-03-19 |
| 1104951615 | Railbelt Mental Health Association | Clinic/Center | 207 East 2nd Street, Nenana, AK 99760 | 2007-02-23 |
| 1265061279 | Providence Health & Services Washington | Clinic/Center | 3200 Providence Dr, Anchorage, AK 99508-4615 | 2020-04-02 |
| 1669001582 | Providence Health & Services Washington | Clinic/Center | 3760 Piper St Ste Ll139, Anchorage, AK 99508-4683 | 2020-04-02 |
| 1598397911 | Bartlett Regional Hospital | Clinic/Center | 3250 Hospital Dr, Juneau, AK 99801-7808 | 2020-02-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on COOK INLET COUNCIL ON ALCOHOL AND DRUG ABUSE.
| 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.