Provider Demographics
NPI:1982729455
Name:ALASKA CARE CONNECTIONS, INC.
Entity Type:Organization
Organization Name:ALASKA CARE CONNECTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:HANSON
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:907-332-5283
Mailing Address - Street 1:PO BOX 113273
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99511-3273
Mailing Address - Country:US
Mailing Address - Phone:907-332-5283
Mailing Address - Fax:907-332-5283
Practice Address - Street 1:15921 NOBLE POINT DR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99516-7548
Practice Address - Country:US
Practice Address - Phone:907-332-5283
Practice Address - Fax:907-332-5283
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKCMG125Medicaid