THE SALVATION ARMY, A CALIFORNIA CORPORATION (NPI# 1518503267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518503267 |
| Entity Type | Organization |
| Organization Name | THE SALVATION ARMY, A CALIFORNIA CORPORATION |
| Practice Address |
8000 West End Road Anchorage AK 99519 |
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 1696793 | 05 |
| Other Name | Type Code |
|---|---|
| Clitheroe Men's Residential Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033755798 | The Salvation Army, A California Corporation | Community/Behavioral Health | 1700 A Street, Anchorage, AK 99501 | 2019-11-18 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| Street Address |
8000 WEST END ROAD |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033770672 | Kathy Eileen Mailelle | Behavior Technician | 8000 West End Road, Anchorage, AK 99501 | 2019-06-25 |
| 1396391710 | Caleb Stepp | Counselor | 8000 West End Road, Anchorage, AK 99502 | 2019-08-12 |
| 1710549621 | Shalom A-rose So'o | Behavior Technician | 8000 West End Road, Anchorage, AK 99501 | 2019-07-01 |
| 1801457072 | Marion Louise Perry | Behavior Technician | 8000 West End Road, Anchorage, AK 99501 | 2019-06-27 |
| 1699336867 | John Ross Waggoner | Behavior Technician | 8000 West End Road, Anchorage, AK 99501 | 2019-06-27 |
| 1548821994 | Justin Tsurnos | Counselor | 8000 West End Road, Anchorage, AK 99501 | 2019-06-26 |
| 1982265336 | Erich R Walter | Counselor | 8000 West End Road, Anchorage, AK 99501 | 2019-06-26 |
| 1306407754 | David Joshua Boyer | Behavior Technician | 8000 West End Road, Salvation Army Clitheroe Center, Anchorage, AK 99501 | 2019-06-26 |
| 1215598669 | Antonio A Fajardo | Behavior Technician | 8000 West End Road, Anchorage, AK 99501 | 2019-06-26 |
| 1124689575 | Maggie Beans | Behavior Technician | 8000 West End Road, Anchorage, AK 99501 | 2019-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932325354 | Marianne Hoosier | Physician Assistant | Conoco Phillips-kuparuk Medical, Nsk-31, Anchorage, AK 99519 | 2007-04-17 |
| 1124147905 | The Salvation Army Clitheroe Center - Dual Diagnosis | Substance Abuse Rehabilitation Facility | 8000 W End Rd, Anchorage, AK 99519 | 2007-03-29 |
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| 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] |
| 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 |
| 1033755798 | The Salvation Army, A California Corporation | Community/Behavioral Health | 1700 A Street, Anchorage, AK 99501 | 2019-11-18 |
| 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 |
| Find all providers in ANCHORAGE | ||||
Please comment or provide details below to improve the information on THE SALVATION ARMY, A CALIFORNIA CORPORATION.
| 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.