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PEDIATRIC RESOURCE CENTER OF ALASKA
NPI 1720600570
Community/Behavioral Health in Wasilla, AK

Active since May 15, 2020
1975 W CHURCH RIDGE DR, WASILLA, AK 99654(907) 414-9554 Get Directions Write a Review

NPPES record last updated: May 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatric Resource Center Of Alaska NPPES

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

PEDIATRIC RESOURCE CENTER OF ALASKA (NPI 1720600570) is a healthcare organization registered as a community/behavioral health in Wasilla, Alaska and active in the NPI registry since May 2020. The organization lists Marshal Packa, Executive Manager, as its authorized official.

NPPES Registry Identity

NPI1720600570
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePEDIATRIC RESOURCE CENTER OF ALASKA
Location Address1975 W CHURCH RIDGE DRWasilla, AK 99654-2102
Mailing Address1975 W Church Ridge DrWasilla, AK 99654-2102 · (907) 414-9554
Phone(907) 414-9554
Organization SubpartNo
Authorized OfficialMarshal PackaExecutive Manager · (907) 414-0203
Enumeration DateMay 15, 2020
NPPES CertifiedMay 15, 2020
✔ NPI 1720600570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
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.
1975 W CHURCH RIDGE DR, Wasilla, AK 99654
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Other Providers at the Same Location NPPES 3

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

VANESSA DUPREE
Behavior Technician
1975 W CHURCH RIDGE DR
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 414-9554
CLARISSA BETH FOLLMAR
Behavior Technician
1975 W CHURCH RIDGE DR
WASILLA, AK 99654
Matanuska-Susitna Borough (401) 203-3110
AMY MARIE LACHER BCBA
Behavior Analyst
1975 W CHURCH RIDGE DR
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 414-9554

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatric Resource Center Of Alaska's NPI number?

The NPI number for Pediatric Resource Center Of Alaska is 1720600570. It was assigned to this organization in the NPPES registry on May 15, 2020.

Where is Pediatric Resource Center Of Alaska located?

Pediatric Resource Center Of Alaska is located at 1975 W Church Ridge Dr, Wasilla, AK 99654. The listed phone number is (907) 414-9554.

What is Pediatric Resource Center Of Alaska's specialty?

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

What insurance does Pediatric Resource Center Of Alaska accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Pediatric Resource Center Of Alaska as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pediatric Resource Center Of Alaska was last updated on May 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.