Provider Demographics
NPI:1417167503
Name:SCHMIDT, JOANNE HOSEY (CARE COORDINATOR)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:HOSEY
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:CARE COORDINATOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 KATLIAN ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:SITKA
Mailing Address - State:AK
Mailing Address - Zip Code:99835-7314
Mailing Address - Country:US
Mailing Address - Phone:907-790-3650
Mailing Address - Fax:907-790-3651
Practice Address - Street 1:8800 GLACIER HWY
Practice Address - Street 2:SUITE 108B
Practice Address - City:JUNEAU
Practice Address - State:AK
Practice Address - Zip Code:99801-8087
Practice Address - Country:US
Practice Address - Phone:907-790-3650
Practice Address - Fax:907-790-3651
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKCM3174Medicaid