COOK INLET COUNCIL ON ALCOHOL AND DRUG ABUSE
NPI 1174792972
Clinic/Center - Rehabilitation, Substance Use Disorder in Kenai, AK

NPI Status: Active since February 26, 2008

Contact Information

10200 KENAI SPUR HWY
KENAI, AK
ZIP 99611
Phone: (907) 283-3658
Fax: (907) 283-5046

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder

About COOK INLET COUNCIL ON ALCOHOL AND DRUG ABUSE

This page provides the complete NPI Profile along with additional information for Cook Inlet Council On Alcohol And Drug Abuse, a provider established in Kenai, Alaska operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1174792972 assigned on February 2008. The practitioner's primary taxonomy code is 261QR0405X with license number 261QR0405X (AK). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Mr. Henry Novak (Executive Director)

NPI
1174792972
Provider Name
COOK INLET COUNCIL ON ALCOHOL AND DRUG ABUSE
Entity Type
Organization
Location Address
10200 KENAI SPUR HWY KENAI, AK 99611
Location Phone
(907) 283-3658
Location Fax
(907) 283-5046
Mailing Address
PO BOX 882 KENAI, AK 99611
Mailing Phone
(907) 283-3658
Mailing Fax
(907) 283-5046
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-26-2008
Last Update Date
02-26-2008
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities
License No.
261QR0405X
License State
AK

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. HENRY NOVAK

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(907) 283-3658

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1396897419MEDICAID (05)AK 
1679796528MEDICAID (05)AK 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1174792972
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211441494914
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 4 + 4 + 1 + 4 + 9 + 4 + 9 + 1 + 4 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1174792972 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1144782657 ALECIA ANN GOTTLOB BA
Individual
Counselor (Addiction (Substance Use Disorder))10200 KENAI SPUR HWY
KENAI, AK 99611
(907) 283-3658
1528623741 SPRING E LARROW CT
Individual
Counselor (Addiction (Substance Use Disorder))10200 KENAI SPUR HWY
KENAI, AK 99611
(907) 283-3658
1285299792 JONI GRAY
Individual
Counselor (Addiction (Substance Use Disorder))10200 KENAI SPUR HWY
KENAI, AK 99611
(907) 283-3658
1730740044 HAILEY A BOUTON
Individual
Case Manager/Care Coordinator10200 KENAI SPUR HWY
KENAI, AK 99611
(907) 283-3658
1376104687 DIANE CAROL OGILVIE
Individual
Counselor (Addiction (Substance Use Disorder))10200 KENAI SPUR HWY
KENAI, AK 99611
(907) 283-3658
1174171417COOK INLET COUNCIL ON ALCOHOL AND DRUG ABUSE
Organization
Community/Behavioral Health10200 KENAI SPUR HWY
KENAI, AK 99611
(907) 283-3658
1174173405 KIMBERLY ANN NOVAK
Individual
Peer Specialist10200 KENAI SPUR HWY
KENAI, AK 99611
(907) 283-3658
1396897419COOK INLET COUNCIL ON ALCOHOL AND DRUG ABUSE
Organization
Clinic/Center (Rehabilitation, Substance Use Disorder)10200 KENAI SPUR HWY
KENAI, AK 99611
(907) 283-3658
1760089528 AMANDA M HANSON
Individual
Counselor (Addiction (Substance Use Disorder))10200 KENAI SPUR HWY
KENAI, AK 99611
(907) 283-3658
1093420580 WENDY KAY DIAL
Individual
Counselor (Mental Health)10200 KENAI SPUR HWY
KENAI, AK 99611
(907) 283-3658
1679354872 COURTNEY LEE MITCHELL
Individual
Counselor (Addiction (Substance Use Disorder))10200 KENAI SPUR HWY
KENAI, AK 99611
(907) 283-3658

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174792972, enumerated in the NPI registry as an "organization" on February 26, 2008

The provider is located at 10200 Kenai Spur Hwy Kenai, Ak 99611 and the phone number is (907) 283-3658

This medical organization specializes in Clinic/Center with taxonomy code 261QR0405X with a focus in Rehabilitation, Substance Use Disorder

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on February 26, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.