ALASKA CLINICAL MANAGEMENT SERVICES. LLC. (NPI# 1366615759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366615759 |
| Entity Type | Organization |
| Organization Name | ALASKA CLINICAL MANAGEMENT SERVICES. LLC. |
| Practice Address |
472 N Main Street, Suite A Wasilla AK 99654 |
| Mailing Address |
472 N Main St Ste A Wasilla AK 99654-7018 |
| Practice Telephone | 9078649080 |
| Practice Fax Number | 9078649070 |
| Mailing Telephone | 9078649080 |
| Mailing Fax Number | 9078649070 |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-08-11 |
| Authorized Official Name | MS. BARBARA ANN MISTLER (ADMINISTRATOR) |
| Authorized Official Telephone | 9078649080 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 744662 | AK | Agencies |
| Street Address |
472 N MAIN STREET, SUITE A |
| City | WASILLA |
| State | AK |
| Zip Code | 99654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
| 1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
| 1922648690 | Achieve Medical Alaska LLC | Clinic/Center | 1981 E Palmer, Suite 230, Wasilla, AK 99654 | 2020-01-10 |
| 1588205538 | Juan Carlos Garcia | Physician Assistant | 950 East Bogard Road, Suite 103, Wasilla, AK 99654 | 2019-10-01 |
| 1427610864 | Sharon Webb | Counselor | 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 | 2019-07-06 |
| 1306401864 | Logan Lee Cook | Peer Specialist | 2953 E Fairview Loop, Wasilla, AK 99654 | 2019-05-09 |
| 1053883595 | Moose Creek Medical Clinic LLC | Nurse Practitioner | 2341 S. Fern St., Suite 300, Wasilla, AK 99654 | 2018-12-21 |
| 1487124962 | Melissa A Stevens | Massage Therapist | 2201 W That Rd, Wasilla, AK 99654 | 2018-11-28 |
| 1609359561 | Audrey E Beers | Midwife | 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 | 2018-09-07 |
| 1093297418 | Karlee Janine Mccorry | Occupational Therapist | 613 S Knik-goose Bay Rd, Wasilla, AK 99654 | 2018-09-01 |
| Find all providers in zip 99654 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023493269 | Wellspring Home Health Center, LLC | Home Health | 201 E. Swanson Avenue, Suite 7, Wasilla, AK 99654 | 2015-07-29 |
| 1992105787 | Immediate Care Inc. | Home Health | 4851 E Blue Lupine Dr, Suite B, Wasilla, AK 99654-8411 | 2014-08-28 |
| 1700207701 | Hearts & Hands of Care | Home Health | 1401 S Seward Meridian Pkwy, Suite A & B, Wasilla, AK 99654-8312 | 2013-12-18 |
| 1609128826 | Prime Care Inc Mat-su | Home Health | 701 E Parks Hwy Ste 207, Wasilla, AK 99654-8164 | 2012-10-11 |
| 1659629087 | Alaska Foot Care Nurses, LLC | Home Health | 991 N Hermon Suite 100, Wasilla, AK 99654 | 2012-08-15 |
| 1750605978 | Amedisys Alaska, LLC | Home Health | 892 E Usa Cir, Suite 102, Wasilla, AK 99654-7188 | 2010-03-17 |
| 1669702114 | Starfish Cares LLC | Home Health | 231 E Swanson Ave Ste 25b, Wasilla, AK 99654-7056 | 2010-01-06 |
| 1023159266 | Alaska Home Care | Home Health | 1450 N Creste Foris St Ste A, Wasilla, AK 99654-5651 | 2007-02-09 |
| 1730132911 | Mat-su Valley Medical Center LLC | Home Health | 3051 Palmer Wasilla Hwy, Wasilla, AK 99654-7234 | 2006-05-18 |
| 1104312537 | Aumavae Cares LLC | Home Health | 4320 E Cobblestone Dr, Wasilla, AK 99654-7893 | 2018-07-09 |
| Find all providers in WASILLA | ||||
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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.