Provider Demographics
NPI:1992829832
Name:ALASKAN COMPREHENSIVE CARE
Entity Type:Organization
Organization Name:ALASKAN COMPREHENSIVE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPRIETER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:RUTHE
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:BSW
Authorized Official - Phone:907-522-2290
Mailing Address - Street 1:12840 BAINBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99516-3052
Mailing Address - Country:US
Mailing Address - Phone:907-522-2290
Mailing Address - Fax:
Practice Address - Street 1:12840 BAINBRIDGE RD
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99516-3052
Practice Address - Country:US
Practice Address - Phone:907-522-2290
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management