ALASKA ISLAND COMMUNITY SERVICES (NPI# 1568912137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568912137 |
| Entity Type | Organization |
| Organization Name | ALASKA ISLAND COMMUNITY SERVICES |
| Practice Address |
110 Lynch Street Wrangell AK 99929 |
| Practice Telephone | 9078745012 |
| Mailing Telephone | 9078745012 |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2016-10-07 |
| Authorized Official Name | GEORGIANNA BUHLER (CFO) |
| Authorized Official Telephone | 9078745012 |
| Authorized Official Credential | CFO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
AK | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477003978 | Alaska Island Community Services | Clinic/Center | 110 Lynch Street, Wrangell, AK 99929 | 2016-10-07 |
| 1851649305 | Alaska Island Community Services | Clinic/Center | 232 Wood St, Wrangell, AK 99929-1231 | 2012-08-15 |
| 1861740284 | Alaska Island Community Services | Clinic/Center | 1 Fish Plant Way, Excursion Inlet, AK 99950-0090 | 2012-08-15 |
| 1902178627 | Alaska Island Community Services | Clinic/Center | 42 Dolly Varden Rd, Gustavus, AK 99826-0399 | 2012-01-27 |
| 1831319227 | Alaska Island Community Services | Clinic/Center | 333 Church Street, Wrangell, AK 99929-1231 | 2007-04-26 |
| 1952422859 | Alaska Island Community Services | Clinic/Center | Naukati Community School, Naukati, AK 99950 | 2007-04-02 |
| 1508912668 | Alaska Island Community Services | Clinic/Center | Sunrise Lodge, Edna Bay, AK 99901 | 2007-01-25 |
| 1881749430 | Alaska Island Community Services | Clinic/Center | #1 Main, Whale Pass, AK 99950 | 2007-01-24 |
| 1689729980 | Alaska Island Community Services | Clinic/Center | 102 Harpoon Way, Coffman Cove, AK 99929 | 2007-01-24 |
| 1750839130 | Alaska Island Community Services | Clinic/Center | 225 Front St, Juneau, AK 99801-1244 | 2016-09-14 |
| Street Address |
110 LYNCH STREET |
| City | WRANGELL |
| State | AK |
| Zip Code | 99929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477003978 | Alaska Island Community Services | Clinic/Center | 110 Lynch Street, Wrangell, AK 99929 | 2016-10-07 |
| 1285232470 | Jonas Donovan Crabtree | Counselor | 110 Lynch Street, Wrangell, AK 99929 | 2020-10-12 |
| 1366060881 | Southeast Alaska Regional Health Consortium | Community/Behavioral Health | 110 Lynch Street, Wrangell, AK 99929 | 2020-07-10 |
| 1427618875 | Thomas William Barnhill | Counselor | 110 Lynch Street, Wrangell, AK 99929-9992 | 2019-06-18 |
| 1073032306 | Jerrie Dee Harvey | Counselor | 110 Lynch Street, Wrangell, AK 99929 | 2017-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073009379 | Eli Michael | Social Worker | 110 Lynch St, Wrangell, AK 99929 | 2018-07-10 |
| 1538688619 | Dash Enterprises | Assisted Living Facility | 1104 Peninsula Street, Wrangell, AK 99929 | 2017-09-11 |
| 1679909253 | Kjerstena Elizabeth Yocum | Dental Hygienist | 215 Front Street, Wrangell, AK 99929 | 2013-09-16 |
| 1699109975 | Kristen Leigh Debord | Speech-Language Pathologist | 310 Bennett St., Wrangell, AK 99929 | 2013-08-22 |
| 1144558685 | Cheryl E Haynes | Pharmacist | 322 Bennett St, Island, Only Addresses Ponumbers-pob 1421, Wrangell, AK 99929 | 2009-11-20 |
| 1992975122 | Pacific Northwest Radiology LLC | Radiology | 310 Bennett St, Wrangell, AK 99929 | 2008-03-04 |
| 1689729980 | Alaska Island Community Services | Clinic/Center | 102 Harpoon Way, Coffman Cove, AK 99929 | 2007-01-24 |
| 1659433738 | Drs Moorhead& Ross Dds | Dentist | 215 Front St, Wrangell, AK 99929 | 2006-12-14 |
| 1588764534 | Stikine Drug LLC | Pharmacy | 202 Front St, Wrangell, AK 99929 | 2006-09-22 |
| 1053418921 | Martha Jane Moore | Family Medicine | 232 Wood Street, Wrangell, AK 99929 | 2006-09-20 |
| Find all providers in zip 99929 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477003978 | Alaska Island Community Services | Clinic/Center | 110 Lynch Street, Wrangell, AK 99929 | 2016-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821511064 | Cross Road Health Ministries, Inc. | Clinic/Center | 187 Glenn Highway, Glennallen, AK 99588-0589 | 2017-07-19 |
| 1568902583 | Sunshine Community Health Center, Inc | Clinic/Center | 42728 S Parks Highway, Talkeetna, AK 99676 | 2017-02-24 |
| 1467991455 | Sunshine Community Health Center, Inc | Clinic/Center | 13930 E Timberwolf Loop, Talkeetna, AK 99676 | 2017-02-23 |
| 1679718019 | Camai Community Health Center, Inc. | Clinic/Center | # 2 School Rd, Naknek, AK 99633-0211 | 2008-12-15 |
| 1487818639 | City of Galena | Clinic/Center | 74 Ruby Road, Ruby, AK 99768-0074 | 2008-07-17 |
| 1568626760 | City of Galena | Clinic/Center | 30 Koyukuk Lane, Koyukuk, AK 99754-0030 | 2008-07-16 |
| 1669636866 | City of Galena | Clinic/Center | 148 Katido Street, Kaltag, AK 99748-0148 | 2008-07-16 |
| 1952422859 | Alaska Island Community Services | Clinic/Center | Naukati Community School, Naukati, AK 99950 | 2007-04-02 |
| 1699892307 | Sunshine Community Health Center Inc | Clinic/Center | 24091 W Long Lake Rd, Willow, AK 99688-9999 | 2007-03-26 |
| 1629105804 | Bristol Bay Borough | Clinic/Center | 2 School Road, Naknek, AK 99633-0211 | 2007-02-27 |
| 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.