Alexandra Active

Case Manager/Care Coordinator · Bethel, AK

Individual Active NPI

NPI number 1164896775

Practice location

460 Ridgecrest Drive
Suite 215
Bethel, AK 99559-0528
Phone
(907) 543-2762
Fax
(907) 543-3152

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NPI record

NPI
1164896775
Entity type
Individual (Type 1)
Enumeration date
November 19, 2015
Last updated
November 19, 2015
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary 171M00000X — —

Mailing address

PO Box 528
Attn: BH DD Services
Bethel, AK 99559-0528
Phone
(907) 543-2762
Fax
(907) 543-3152

About Alexandra Active

Alexandra Active is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 460 Ridgecrest Drive, Suite 215, Bethel, AK 99559-0528. The NPI number 1164896775 was assigned on November 19, 2015 and the record was last updated on November 19, 2015.

Frequently asked questions

What is the NPI number of Alexandra Active?

The NPI number is 1164896775.

What is the phone number of Alexandra Active?

The phone number listed for the practice location is (907) 543-2762.

Where is Alexandra Active located?

460 Ridgecrest Drive, Suite 215, Bethel, AK 99559-0528.

What is the taxonomy code for Alexandra Active?

The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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