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THE SALVATION ARMY BOOTH MEMORIAL RESIDENTIAL CHILDCARE NPI 1265656730


NPI Information

NPI: 1265656730
Provider Name: THE SALVATION ARMY BOOTH MEMORIAL RESIDENTIAL CHILDCARE
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
3600 E 20TH AVE
ANCHORAGE, AK
ZIP 99508
Phone: (907) 279-0522
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THE SALVATION ARMY BOOTH MEMORIAL RESIDENTIAL CHILDCARE is a residential treatment facility emotionally disturbed children in Anchorage, AK. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. THE SALVATION ARMY BOOTH MEMORIAL RESIDENTIAL CHILDCARE NPI is 1265656730. The provider is registered as an organization entity type.

The provider's business location address is:

3600 E 20TH AVE
ANCHORAGE, AK
ZIP 99508-416
Phone: (907) 279-0522

The provider's authorized official is Adelane M Kelly .
The authorized official title is Divisional Finance Director and has the following contact phone number (907) 339-3406.

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
1322D00000XResidential Treatment Facility, Emotionally Disturbed Children11806ALASKAYes

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
1BR0005MEDICAIDALASKA

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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