U.S. COAST GUARD MEDICAL CLINIC (NPI# 1619143658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619143658 |
| Entity Type | Organization |
| Organization Name | U.S. COAST GUARD MEDICAL CLINIC |
| Practice Address |
1300 Stedman St Ketchikan AK 99901-6661 |
| Practice Telephone | 9072473510 |
| Mailing Telephone | 9072473510 |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2008-04-30 |
| Authorized Official Name | DR. CAROL ALLEY (DOCTOR) |
| Authorized Official Telephone | 9072473510 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | 3823 | AK | Agencies |
| Street Address |
1300 STEDMAN ST |
| City | KETCHIKAN |
| State | AK |
| Zip Code | 99901-6661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508827163 | Edward Bomberger II | Technician, Other | 1300 Stedman St, Ketchikan, AK 99901-6661 | 2006-03-31 |
| 1588015309 | Billy J Stroud IIi | Technician, Other | 1300 Stedman St, Ketchikan, AK 99901-6661 | 2016-06-22 |
| 1942650387 | Ashley Sarkisian | Technician, Other | 1300 Stedman St, Ketchikan, AK 99901-6661 | 2016-06-16 |
| 1215383377 | William Jahns | Technician, Other | 1300 Stedman St, Ketchikan, AK 99901-6661 | 2016-05-09 |
| 1740624170 | Angie Smitley | Dental Hygienist | 1300 Stedman St, Ketchikan, AK 99901-6661 | 2013-04-29 |
| 1285948877 | Hswl Fo Kodiak Det Ketchikan | Military/U.S. Coast Guard Pharmacy | 1300 Stedman St, Ketchikan, AK 99901-6661 | 2010-08-06 |
| 1275768426 | Lindsay Sonnier | Technician, Other | 1300 Stedman St, Ketchikan, AK 99901-6661 | 2009-05-18 |
| 1912131608 | Michael John Dellaneve | Technician, Other | 1300 Stedman St, Ketchikan, AK 99901-6661 | 2009-05-08 |
| 1194900829 | Rhett Jackson | Registered Nurse | 1300 Stedman St, Ketchikan, AK 99901-6661 | 2007-12-31 |
| 1346450905 | John Gilbert | Technician, Other | 1300 Stedman St, Ketchikan, AK 99901-6661 | 2007-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314215 | Residential Youth Care, Inc. | Community/Behavioral Health | 2442 Tongass Avenue, Ketchikan, AK 99901 | 2020-07-23 |
| 1316563026 | Residential Youth Care, Inc. | Community/Behavioral Health | 606 Hill Road, Ketchikan, AK 99901 | 2020-06-18 |
| 1043836851 | Residential Youth Care, Inc. | Community/Behavioral Health | 2514 1st Avenue, Ketchikan, AK 99901 | 2020-06-18 |
| 1215553029 | Residential Youth Care, Inc. | Community/Behavioral Health | 2951 Baranof Avenue, Ketchikan, AK 99901 | 2020-06-18 |
| 1174159222 | Helene Rae Simpson | Behavior Technician | 201 Deermont St, Ketchikan, AK 99901 | 2020-03-20 |
| 1003295155 | Suzanne Webb | Massage Therapist | 602 Dock St Ste 106, Ketchikan, AK 99901 | 2015-05-22 |
| 1093194342 | Kate Mortensen | Case Manager/Care Coordinator | 2690 Tongass Ave, Ketchikan, AK 99901 | 2015-05-20 |
| 1578879631 | Thomas Peter Ryan | Social Worker | 320 Bawden St. #318, Ketchikan, AK 99901 | 2010-08-27 |
| 1689820979 | Akeela Inc | Community Based Residential Treatment Facility, Mental Illness | 3050 Fifth Ave, Ketchikan, AK 99901 | 2008-08-18 |
| 1750565438 | Susan Marie Swift | Nurse Practitioner | 21 Jefferson Way, Suite 202, Psychiatry, Ketchikan, AK 99901 | 2007-12-18 |
| Find all providers in zip 99901 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457739872 | Aurora Care | Case Management | 3250 Denali Ave, Apt 30, Ketchikan, AK 99901-5679 | 2015-05-18 |
| 1013035302 | Catholic Community Service | Case Management | 1016 Water St, Ketchikan, AK 99901-6147 | 2007-03-26 |
| 1538342605 | Community Connections | Case Management | 201 Deermount St, Ketchikan, AK 99901-6649 | 2007-12-12 |
| 1437332509 | Community Connections | Case Management | 721 Stedman St, Ketchikan, AK 99901-6632 | 2007-12-12 |
| 1518085422 | Catholic Community Service | Case Management | 1016 Water St, Ketchikan, AK 99901-6147 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851915953 | Sundance Ak Care Coordination LLC | Case Management | 11830 Northern Raven Dr, Anchorage, AK 99516-1978 | 2020-06-04 |
| 1891331237 | Daybreak Incorporated | Case Management | 121 W Fireweed Ln Ste 175, Anchorage, AK 99503-2035 | 2019-11-20 |
| 1619519055 | Person Centered Care Corrdination, Inc. | Case Management | 4911 S Albert Cir, Wasilla, AK 99623-9864 | 2019-10-16 |
| 1841855459 | Care Solutions & Coordination, LLC | Case Management | 1805 Miranda Ct, Kenai, AK 99611-6658 | 2019-05-08 |
| 1063975936 | Lisa Rochon-martin | Case Management | 2820 Watergate Way Apt 4, Kenai, AK 99611-8861 | 2019-04-09 |
| 1902370042 | Alpenglow Care Coordination LLC | Case Management | 3310 Lois Dr, Anchorage, AK 99517-2036 | 2019-01-11 |
| 1679055503 | Compassionate Care Coordination & Planning LLC | Case Management | 49855 Bishop Dr # 3, Kenai, AK 99611-9439 | 2018-09-06 |
| 1053893248 | Kristine Joie M Mendoza | Case Management | 2483 Lochenshire Pl, Anchorage, AK 99504-5900 | 2018-09-04 |
| 1952895336 | Ak Waiver and Tefra Planning LLC | Case Management | 14041 Sunview Dr, Anchorage, AK 99515-4131 | 2018-06-19 |
| 1437643301 | 1by Grace Tefra Services, LLC | Case Management | 6644 Cimarron Cir, Anchorage, AK 99504-3945 | 2018-06-14 |
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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.