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CATHOLIC COMMUNITY SERVICE NPI 1134247042


NPI Information

NPI: 1134247042
Provider Name: CATHOLIC COMMUNITY SERVICE

Doing Business As: BRIDGE ADULT DAY CARE

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
1803 GLACIER HWY
JUNEAU, AK
ZIP 99801
Phone: (907) 463-6149
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CATHOLIC COMMUNITY SERVICE is an adult day care clinic center in Juneau, AK. CATHOLIC COMMUNITY SERVICE NPI is 1134247042. The provider is registered as an organization entity type.
The provider Is Doing Business As Bridge Adult Day Care.

The provider's business location address is:

1803 GLACIER HWY
JUNEAU, AK
ZIP 99801-804
Phone: (907) 463-6149

The provider's authorized official is Shema Jones .
The authorized official title is Cfo and has the following contact phone number (907) 463-6143.

The enumeration date for this NPI number is 3/27/2007 and was last updated on 3/25/2021.


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
1261QA0600XClinic/CenterAdult Day CareYes

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
1HC2666MEDICAIDALASKA

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: 11/14/2023

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