ANCHORAGE COMMUNITY MENTAL HEALTH (NPI# 1396964870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396964870 |
| Entity Type | Organization |
| Organization Name | ANCHORAGE COMMUNITY MENTAL HEALTH |
| Practice Address |
4020 Folker St Anchorage AK 99508-5321 |
| Practice Telephone | 9075631000 |
| Practice Fax Number | 9075632045 |
| Mailing Telephone | 9075631000 |
| Mailing Fax Number | 9075632045 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2008-08-04 |
| Authorized Official Name | JERRY A. JENKINS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9072615310 |
| Authorized Official Credential | MED., MAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | HC2394 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134173172 | Anchorage Community Mental Health | Clinic/Center | 4020 Folker St, Anchorage, AK 99508-5321 | 2006-05-22 |
| 1720335524 | Anchorage Community Mental Health | Community/Behavioral Health | 1000 E 4th Ave, Anchorage, AK 99501-2716 | 2012-08-10 |
| 1538389598 | Anchorage Community Mental Health | Clinic/Center | 4020 Folker St, Anchorage, AK 99508-5321 | 2007-05-01 |
| Street Address |
4020 FOLKER ST |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-5321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134173172 | Anchorage Community Mental Health | Clinic/Center | 4020 Folker St, Anchorage, AK 99508-5321 | 2006-05-22 |
| 1962003822 | Jenna Laine Moretz | Technician, Pathology | 4020 Folker St, Anchorage, AK 99508-5321 | 2020-11-05 |
| 1487254926 | Luke Bradley Offord | Counselor | 4020 Folker St, Anchorage, AK 99508-5321 | 2020-10-26 |
| 1053918268 | Christopher Michael Hindman | Registered Nurse | 4020 Folker St, Anchorage, AK 99508-5321 | 2020-10-01 |
| 1346857158 | Tatiana Faletoi | Counselor | 4020 Folker St, Anchorage, AK 99508-5321 | 2020-09-25 |
| 1770199903 | Garreth Edwin | Behavior Technician | 4020 Folker St, Anchorage, AK 99508-5321 | 2020-09-22 |
| 1922614320 | Linda Setterberg | Behavior Technician | 4020 Folker St, Anchorage, AK 99508-5321 | 2020-09-21 |
| 1104431667 | Noryln L Aquino | Counselor | 4020 Folker St, Anchorage, AK 99508-5321 | 2020-09-11 |
| 1326652223 | Yannick Hodgin | Counselor | 4020 Folker St, Anchorage, AK 99508-5321 | 2020-09-08 |
| 1891305488 | Alisha Rukovishnikoff | Counselor | 4020 Folker St, Anchorage, AK 99508-5321 | 2020-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184990277 | Elderlink Adult Day Service, LLC | Clinic/Center | 2207 E Tudor Rd, Suite 34 & 36, Anchorage, AK 99507-1039 | 2012-03-22 |
| 1700079738 | Angel Tutaan | Clinic/Center | 10057 Marmot Cir, Anchorage, AK 99515-2346 | 2007-08-22 |
| 1043432289 | Greenwood Lodge Adult Day and Respite Care Services Inc. | Clinic/Center | 2351 Copperwood Dr, 8100 Greenwood St., Anchorage, AK 99516-1956 | 2007-05-03 |
| 1376766485 | The Salvation Army - Serendipity | Clinic/Center | 3550 E 20th Ave, Anchorage, AK 99508-3414 | 2007-04-10 |
| 1063555985 | Lydia Quinn | Clinic/Center | 1142 E 13th Ave, Anchorage, AK 99501-4739 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205156270 | Rendezvous Senior Day Services Inc. | Clinic/Center | 2441 1st Ave, Ketchikan, AK 99901-5801 | 2010-06-01 |
| 1922339233 | Frontier Community Services | Clinic/Center | 905 Cook Avenue, Suite B, Kenai, AK 99611-8046 | 2010-01-26 |
| 1952524779 | Respect Your Elders | Clinic/Center | 2301 Colleen St, Palmer, AK 99645 | 2007-04-10 |
| 1962625939 | Nome Community Center, Inc. | Clinic/Center | 505 West 3rd Avenue, Nome, AK 99762 | 2007-04-10 |
| 1922121789 | Chugiak Senior Citizens, Inc. | Clinic/Center | 22424 N Birchwood Loop Road, Wasilla, AK 99567-0000 | 2007-04-09 |
| 1134247042 | Catholic Community Service | Clinic/Center | 1803 Glacier Hwy, Juneau, AK 99801-7804 | 2007-03-27 |
| 1326201930 | Wasilla Area Seniors Inc | Clinic/Center | 1301 S Century Cir, Wasilla, AK 99654-8520 | 2008-07-03 |
| 1235353970 | Homer Senior Citizens, Inc. | Clinic/Center | 3935 Svedlund St, Homer, AK 99603-7673 | 2007-04-12 |
| 1124110796 | Peninsula Community Health Services of Alaska | Clinic/Center | 230 E Marydale Ave, Suite 2, Soldotna, AK 99669-7648 | 2006-09-29 |
Please comment or provide details below to improve the information on ANCHORAGE COMMUNITY MENTAL HEALTH.
| 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.