Healthcare Provider Details

I. General information

NPI: 1639263510
Provider Name (Legal Business Name): SEAVIEW COMMUNITY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 08/12/2022
Certification Date: 08/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

302 RAILWAY AVE
SEWARD AK
99664-1045
US

IV. Provider business mailing address

PO BOX 1045
SEWARD AK
99664-1045
US

V. Phone/Fax

Practice location:
  • Phone: 907-224-5257
  • Fax: 907-224-7081
Mailing address:
  • Phone: 907-224-5257
  • Fax: 907-224-7081

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JAMES THOMAS GLANTON
Title or Position: CEO
Credential:
Phone: 907-422-1001