ALASKA ISLAND COMMUNITY SERVICES (NPI# 1619197662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619197662 |
| Entity Type | Organization |
| Organization Name | ALASKA ISLAND COMMUNITY SERVICES |
| Practice Address |
333 Church St Wrangell AK 99929-1231 |
| Mailing Address |
Po Box 1231 Wrangell AK 99929-1231 |
| Practice Telephone | 9078742373 |
| Practice Fax Number | 9078742576 |
| Mailing Telephone | 9078742373 |
| Mailing Fax Number | 9078742576 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARK WALKER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9078742373 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | DA9543 | 05 |
| 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 |
| 1568912137 | Alaska Island Community Services | Clinic/Center | 110 Lynch Street, Wrangell, AK 99929 | 2016-10-07 |
| Street Address |
333 CHURCH ST |
| City | WRANGELL |
| State | AK |
| Zip Code | 99929-1231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003352402 | Southeast Alaska Regional Health Consortium | Community/Behavioral Health | 333 Church St, Wrangell, AK 99929 | 2017-01-10 |
| 1902342306 | Southeast Alaska Regional Health Consortium | Pharmacy | 333 Church St, Wrangell, AK 99929 | 2017-01-10 |
| 1598080830 | Brooke Reynolds | Social Worker | 333 Church St, Wrangell, AK 99929-1231 | 2010-03-30 |
| 1710216544 | Alaska Island Community Services | Pharmacy | 333 Church St, Wrangell, AK 99929 | 2009-12-07 |
| 1790947737 | Theodora Vaughn Williams | Counselor | 333 Church St, Wrangell, AK 99929 | 2008-07-01 |
| 1518126135 | Richard M Rivard | Case Manager/Care Coordinator | 333 Church St, Box 1231, Wrangell, AK 99929-1231 | 2008-06-09 |
| 1134306673 | Jessica Anne Wilson | Case Manager/Care Coordinator | 333 Church St, Wrangell, AK 99929 | 2008-01-28 |
| 1841497815 | Alaska Island Community Services | Clinic/Center | 333 Church St, Wrangell, AK 99929-1231 | 2007-07-02 |
| 1891915849 | Alaska Island Community Services | Day Training, Developmentally Disabled Services | 333 Church St, Wrangell, AK 99929-1231 | 2007-05-01 |
| 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 |
| 1477003978 | Alaska Island Community Services | Clinic/Center | 110 Lynch Street, Wrangell, AK 99929 | 2016-10-07 |
| 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 |
| Find all providers in zip 99929 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| 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 |
| 1396897419 | Cook Inlet Council On Alcohol and Drug Abuse | Clinic/Center | 10200 Kenai Spur Hwy, Kenai, AK 99611-7807 | 2007-01-17 |
| 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 |
| 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.