STATE OF ALASKA
NPI 1346601457
Community/Behavioral Health in Ketchikan, AK

Q: What is State Of Alaska Public Health Nursing's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since March 16, 2016

3054 FIFTH AVE, KETCHIKAN, AK 99901(907) 225-4350(907) 247-0978 Get Directions Write a Review

NPPES record last updated: March 16, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About State Of Alaska NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STATE OF ALASKA (NPI 1346601457) is a healthcare organization registered as a community/behavioral health in Ketchikan, Alaska and active in the NPI registry since March 2016. The organization lists Susan Renee Bergmann, Nurse Manager, as its authorized official.

NPPES Registry Identity

NPI1346601457

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameSTATE OF ALASKA PUBLIC HEALTH NURSING

Location Address3054 FIFTH AVEKetchikan, AK 99901-5773

Mailing Address14818 N Tongass HwyKetchikan, AK 99901-8902 · (907) 225-4328

Phone(907) 225-4350

Fax(907) 247-0978

Organization SubpartYesParent: State Of Alaska

Authorized OfficialSusan Renee BergmannNurse Manager · (907) 225-4350

Enumeration DateMarch 16, 2016

✔ NPI 1346601457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in AK · NURR8365

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

3054 FIFTH AVE, Ketchikan, AK 99901

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Other Names 1

Other NameState Of Alaska

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSAN NEWBURN-MEDEL RN

Registered Nurse