Provider Demographics
NPI:1417251554
Name:CENTER FOR COMMUNITY, INC.
Entity Type:Organization
Organization Name:CENTER FOR COMMUNITY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CONNIE
Authorized Official - Middle Name:JOAN
Authorized Official - Last Name:SIPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-747-6960
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:99835-7359
Mailing Address - Country:US
Mailing Address - Phone:907-747-6960
Mailing Address - Fax:907-747-4868
Practice Address - Street 1:700 KATLIAN ST
Practice Address - Street 2:SUITE B
Practice Address - City:SITKA
Practice Address - State:AK
Practice Address - Zip Code:99835-7359
Practice Address - Country:US
Practice Address - Phone:907-747-6960
Practice Address - Fax:907-747-4868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-04
Last Update Date:2011-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies