FRONT STREET HEALTH CENTER (NPI# 1205255957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205255957 |
| Entity Type | Organization |
| Organization Name | FRONT STREET HEALTH CENTER |
| Other Organization Name | FRONT STREET COMMUNITY HEALTH CENTER |
| Practice Address |
225 Front St Ste 202 Juneau AK 99801-1244 |
| Practice Telephone | 9074634201 |
| Practice Fax Number | 9074636617 |
| Mailing Telephone | 9074634201 |
| Mailing Fax Number | 9074636617 |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2014-04-09 |
| Authorized Official Name | JANNA BREWSTER (MEDICAL PROVIDER/EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9074634201 |
| Authorized Official Credential | ANP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Front Street Community Health Center | Doing Business As Name - Organization |
| Street Address |
225 FRONT ST STE 202 |
| City | JUNEAU |
| State | AK |
| Zip Code | 99801-1244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534425 | Katie Dawn Jacobs | Case Manager/Care Coordinator | 225 Front St Ste 202, Juneau, AK 99801-1244 | 2020-10-01 |
| 1629690789 | Olivia Salisbury Sinaiko | Counselor | 225 Front St Ste 202, Juneau, AK 99801-1244 | 2020-05-12 |
| 1578109633 | Southeast Alaska Regional Health Consortium | Community/Behavioral Health | 225 Front St Ste 202, Juneau, AK 99801-1244 | 2019-11-25 |
| 1962067447 | Lisa Houser | Case Manager/Care Coordinator | 225 Front St Ste 202, Juneau, AK 99801-1244 | 2019-05-09 |
| 1306401070 | Todd C. Harper | Case Manager/Care Coordinator | 225 Front St Ste 202, Juneau, AK 99801-1244 | 2019-05-07 |
| 1053766212 | Michelle Diaz Nazario | Counselor | 225 Front St Ste 202, Juneau, AK 99801-1244 | 2016-04-25 |
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|---|---|---|---|---|
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| 1316561590 | Juneau Youth Services, Inc. | Community/Behavioral Health | 2901 Riverside Dr, Juneau, AK 99801 | 2020-06-03 |
| 1366066540 | Juneau Youth Services, Inc. | Community/Behavioral Health | 3400 Tongass Blvd, Juneau, AK 99801 | 2020-06-03 |
| 1134743313 | Juneau Youth Services, Inc. | Community/Behavioral Health | 3800 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-03 |
| 1235753419 | Juneau Youth Services, Inc. | Community/Behavioral Health | 9001 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-03 |
| 1043834245 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10685 Mendenhall Loop Rd, Juneau, AK 99801 | 2020-06-03 |
| 1295359511 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10801 Black Bear Rd, Juneau, AK 99801 | 2020-06-02 |
| 1700400033 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10685 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-02 |
| 1831733351 | Monalisa Vaolete Lauofo | Counselor | 5594 Aisek Street, Juneau, AK 99801 | 2019-10-29 |
| 1245873033 | Ryan Isadore | Counselor | 1613 Anka Street, Juneau, AK 99801 | 2019-10-24 |
| Find all providers in zip 99801 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639652662 | Southcentral Foundation | Clinic/Center | 26341 Eklutna Village Rd, Chugiak, AK 99567-5148 | 2018-09-14 |
| 1881047108 | Aleutian Pribilof Islands Association | Clinic/Center | 111 Lakeview Rd., Nikolski, AK 99638 | 2016-07-21 |
| 1609232040 | Southcentral Foundation | Clinic/Center | 101 Indian Creek Road, Tyonek, AK 99682 | 2016-01-14 |
| 1235595562 | Chitina Traditional Indian Village Council | Clinic/Center | Mile 28.5 Edgerton Hwy, Chitina, AK 99566 | 2015-12-31 |
| 1770953903 | Southcentral Foundation | Clinic/Center | 1 Flight Line Rd, Port Alsworth, AK 99653-9801 | 2015-09-30 |
| 1144699216 | Southcentral Foundation | Clinic/Center | 4030 Salmon Way, Iguigig, AK 99613 | 2015-09-18 |
| 1295104644 | Southcentral Foundation | Clinic/Center | 102 Fireweed Lane, Newhalen, AK 99606 | 2015-09-16 |
| 1952770307 | Southcentral Foundation | Clinic/Center | 2516 Mountain Circle, Pedro Bay, AK 99647 | 2015-09-16 |
| 1043632037 | Southcentral Foundation | Clinic/Center | 11495 N Callison Street, Sutton, AK 99674 | 2014-01-10 |
| 1851649305 | Alaska Island Community Services | Clinic/Center | 232 Wood St, Wrangell, AK 99929-1231 | 2012-08-15 |
| Find all providers with the same taxonomy | ||||
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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.