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HOONAH BHVRL HLTH PROGRAM NPI 1093939548


NPI Information

NPI: 1093939548
Provider Name: HOONAH BHVRL HLTH PROGRAM

Doing Business As: HOONAH MEDICAL CENTER

Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
568 RAVIN DRIVE
HOONAH, AK
ZIP 99829
Phone: (907) 945-3235
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HOONAH BHVRL HLTH PROGRAM is a counselor in Hoonah, AK. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. HOONAH BHVRL HLTH PROGRAM NPI is 1093939548. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Hoonah Medical Center.

The provider's business location address is:

568 RAVIN DRIVE
HOONAH, AK
ZIP 99829-103
Phone: (907) 945-3235
Fax: (907) 945-3239

The provider's authorized official is Laura Brewer .
The authorized official title is Lead Clinician and has the following contact phone number (907) 945-3235.

The enumeration date for this NPI number is 4/13/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorALASKAYes
2101YA0400XCounselorAddiction (Substance Use Disorder)ALASKAX
3101YM0800XCounselorMental HealthALASKAX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1MH9829MEDICAIDALASKA
2DA0129MEDICAIDALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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