Provider Demographics
NPI:1609906635
Name:COMMUNITIES ORGANIZED FOR HEALTH OPTIONS
Entity Type:Organization
Organization Name:COMMUNITIES ORGANIZED FOR HEALTH OPTIONS
Other - Org Name:COHO
Other - Org Type:Other Name
Authorized Official - Title/Position:CO-EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DOUG
Authorized Official - Middle Name:
Authorized Official - Last Name:VEIT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:907-826-3662
Mailing Address - Street 1:PO BOX 805
Mailing Address - Street 2:
Mailing Address - City:CRAIG
Mailing Address - State:AK
Mailing Address - Zip Code:99921-0805
Mailing Address - Country:US
Mailing Address - Phone:907-826-3662
Mailing Address - Fax:907-826-2917
Practice Address - Street 1:210 COLD STORAGE ROAD
Practice Address - Street 2:
Practice Address - City:CRAIG
Practice Address - State:AK
Practice Address - Zip Code:99921-0805
Practice Address - Country:US
Practice Address - Phone:907-826-3662
Practice Address - Fax:907-826-2917
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK83770251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKDY4818Medicaid
AKMH1878Medicaid