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NOME COMMUNITY CENTER INC. NPI 1962625939


NPI Information

NPI: 1962625939
Provider Name: NOME COMMUNITY CENTER, INC.
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
505 WEST 3RD AVENUE
NOME, AK
ZIP 99762
Phone: (907) 443-5259
Get Directions

NOME COMMUNITY CENTER, INC. is a residential treatment facility emotionally disturbed children in Nome, 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. NOME COMMUNITY CENTER, INC. NPI is 1962625939. The provider is registered as an organization entity type.

The provider's business location address is:

505 WEST 3RD AVENUE
NOME, AK
ZIP 99762
Phone: (907) 443-5259
Fax: (907) 443-2990

The provider's authorized official is Danielle Slingsby .
The authorized official title is Executive Director and has the following contact phone number (907) 443-5259.

The enumeration date for this NPI number is 4/10/2007 and was last updated on 1/12/2015.


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 CareHC9475ALASKANo
2332U00000XHome Delivered MealsHC9475ALASKANo
3322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenNo
4322D00000XResidential Treatment Facility, Emotionally Disturbed Children60313008ALASKAYes

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
1HC9475MEDICAIDALASKA
2PCG104MEDICAIDALASKA
31585002MEDICAIDALASKA
4CMG4751MEDICAIDALASKA

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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