Kenai Peninsula Community Care So

LBN: Kenai Peninsula Community Care So
Kenai Peninsula Community Care So is an health care organization with primary practice located at 320 S Spruce St , Kenai AK 99611-7939. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. Kenai Peninsula Community Care So can be contacted via phone (907) 283-7635, or through Bidwell, Tamara via phone (907) 283-7635.

Contact Information

Primary practice address
320 S Spruce St Kenai AK 99611-7939
Phone: (907) 283-7635
Fax: (907) 283-9575
Website:
Map and Directions
Authorized official contact:
Name: Bidwell, Tamara BA IN PSYCHOLOGY
Phone: (907) 283-7635

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X

Profile Details

NPI number 1972945889
LBN Legal business name Kenai Peninsula Community Care So
DBA Doing business as
Authorized official Bidwell, Tamara BA IN PSYCHOLOGY
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2013
Last updated Jul 19th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972945889 NPPES
Alaska MEDICAID MH6326

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