ISAIAH JORDAN CLARK (NPI# 1417184961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417184961 |
| Entity Type | Individual |
| Full Name | ISAIAH JORDAN CLARK |
| Practice Address |
701 Indian River Rd Sitka AK 99835-7480 |
| Practice Telephone | 9077473636 |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2009-06-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092447 | Isaiah Daniel Clark | Rehabilitation Practitioner | 33600 Mapleton Ave # D2018, Murrieta, CA 92563-4434 | 2020-10-31 |
| 1518429687 | Isaiah James Clark | Student in an Organized Health Care Education/Training Program | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2019-04-05 |
| Street Address |
701 INDIAN RIVER RD |
| City | SITKA |
| State | AK |
| Zip Code | 99835-7480 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467676221 | Carolyn A. Lemmon | Counselor | 701 Indian River Rd, Sitka, AK 99835-7480 | 2007-04-12 |
| 1952667768 | Virginia Cameron | Counselor | 701 Indian River Rd, Sitka, AK 99835-7480 | 2012-04-05 |
| 1174889232 | Jean Swanson | Counselor | 701 Indian River Rd, Sitka, AK 99835-7480 | 2012-04-03 |
| 1619233780 | Julie Doggett | Counselor | 701 Indian River Rd, Sitka, AK 99835-7480 | 2012-04-03 |
| 1962778274 | Joseph Younak | Counselor | 701 Indian River Rd, Sitka, AK 99835-7480 | 2012-03-30 |
| 1528334836 | Carol Lundy | Counselor | 701 Indian River Rd, Sitka, AK 99835-7480 | 2012-03-30 |
| 1912273475 | Katie Johnson | Counselor | 701 Indian River Rd, Sitka, AK 99835-7480 | 2012-03-29 |
| 1760758213 | Kaylie Kimberlin | Counselor | 701 Indian River Rd, Sitka, AK 99835-7480 | 2012-03-29 |
| 1720354152 | Dayna Arnold | Counselor | 701 Indian River Rd, Sitka, AK 99835-7480 | 2012-03-29 |
| 1912273491 | Robin Riggs | Counselor | 701 Indian River Rd, Sitka, AK 99835-7480 | 2012-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268116 | Rodney Ray Racaza | Pharmacist | 222 Tongass Drive Pharmacy, Sitka, AK 99835 | 2020-09-01 |
| 1003462052 | Tiffany Marie Johnson | Nurse's Aide | 1209 Seward Ave., Sitka, AK 99835 | 2019-08-15 |
| 1841843794 | Southeast Alaska Regional Health Consortium | Community/Behavioral Health | 1200 Seward Avenue, Sitka, AK 99835 | 2019-07-19 |
| 1992358840 | Southeast Alaska Regional Health Consortium | Community/Behavioral Health | 1212 Seward Avenue, Sitka, AK 99835 | 2019-07-19 |
| 1154973857 | Jeffrey Mossige | Counselor | Searhc - Raven's Way 222 Tongass Dr., Sitka, AK 99835 | 2019-07-12 |
| 1689194599 | Heather Chandler | Social Worker | 113 Metlakatla Steet, Sitka, AK 99835 | 2017-06-21 |
| 1730548462 | Southeast Alaska Regional Health Consortium | Medicare Defined Swing Bed Unit | 222 Tongass Blvd, Sitka, AK 99835 | 2016-02-23 |
| 1275967291 | Debra R Wilson | Registered Nurse | 222 Tongass Airport Road, Sitka, AK 99835 | 2013-08-27 |
| 1700167830 | Allison Richmond Allen | Physical Therapy Assistant | 12 Lifesaver Drive, Sitka, AK 99835 | 2011-09-02 |
| 1023336617 | Hollie E Mulanax | Community Health Worker | 408 Lake Street #2, Sitka, AK 99835 | 2010-05-07 |
| Find all providers in zip 99835 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144457441 | Sitka Counseling and Prevention Services | Substance Abuse Rehabilitation Facility | 701 Indian River Rd, Sitka, AK 99835-7480 | 2009-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780220012 | Set Free Alaska, Inc. | Substance Abuse Rehabilitation Facility | 51310 Timber Bay Court, Homer, AK 99603-9968 | 2019-11-21 |
| 1811532575 | Set Free Alaska, Inc. | Substance Abuse Rehabilitation Facility | 1130 Ocean Dr Ste A, Homer, AK 99603-7919 | 2019-11-16 |
| 1992281034 | Akeela Inc | Substance Abuse Rehabilitation Facility | 2804 Bering St, Anchorage, AK 99503-3820 | 2018-07-12 |
| 1508393869 | Ground Zero Wellness Center | Substance Abuse Rehabilitation Facility | 4670 Killen Ln, Fairbanks, AK 99709-3325 | 2017-05-17 |
| 1306394960 | Akeela Inc | Substance Abuse Rehabilitation Facility | 561 S Denali St Ste F, Palmer, AK 99645-6464 | 2016-09-13 |
| 1730582446 | Starting Point | Substance Abuse Rehabilitation Facility | 230 E Paulson Ave, 76, Wasilla, AK 99654-7001 | 2014-10-08 |
| 1003005828 | Maniilaq Association | Substance Abuse Rehabilitation Facility | 722 Second Ave, Kotzebue, AK 99752-0256 | 2007-10-17 |
| 1518158245 | Norton Sound Regional Hospital | Substance Abuse Rehabilitation Facility | 3rd Ave, Unalakleet, AK 99684 | 2007-08-07 |
| 1184814667 | Norton Sound Health Corp | Substance Abuse Rehabilitation Facility | 305 5th & Bering Street, Nome, AK 99762 | 2007-07-31 |
| 1205036548 | Norton Sound Health Corporation | Substance Abuse Rehabilitation Facility | 306 5th Ave. W, Nome, AK 99762 | 2007-07-24 |
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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.