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NPI Code Detail

MEDICARE: COMMUNITY CONNECTIONS, INC.

MEDICARE: COMMUNITY CONNECTIONS, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251B00000XCase Management Agency292852AK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437332509
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY CONNECTIONS, INC.
Provider Business Mailing Address
First Line : 721 STEDMAN ST
Second Line :
City : KETCHIKAN
State : AK
Zip : 99901-6632
Country : US
Telephone Number : 907-225-7825
Fax Number : 907-225-1541
Provider Business Practice Location Address
First Line : 721 STEDMAN ST
Second Line :
City : KETCHIKAN
State : AK
Zip : 99901-6632
Country : US
Telephone Number : 907-225-7825
Fax Number : 907-225-1541
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : TANDRA THOMPSON
Credential :
Telephone Number : 907-225-7825
Provider Enumeration Date : 12/12/2007
Last Update Date : 07/18/2025

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Directions to “COMMUNITY CONNECTIONS, INC. ” Practice Location

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