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Contact Information

CHUGACHMIUT
1840 BRAGAW ST STE 110
ANCHORAGE, AK99508-3463
 Phone: 907-562-4155
 Fax: 907-563-2891
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
 

Addiction (Substance Use Disorder)

101YA0400X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Counselor

101Y00000X
 

Mental Health

101YM0800X
 

Professional

101YP2500X
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for CHUGACHMIUT

NPI # 1730565045
LBN Legal business name CHUGACHMIUT
Authorized official KELLEY BAKER - (HEALTH SERVICES DIVISION DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/10/2015
Last updated 12/08/2021 - About 4 years ago
Identifiers
AK Medicaid 1632379
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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