BIG LAKE COUNTRY CLUB – NPI #1154580835
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
BIG LAKE COUNTRY CLUB is a community based residential treatment facility located in HOUSTON, AK. NPPES has assigned the NPI number 1154580835 to BIG LAKE COUNTRY CLUB on June 06, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.
The NPI profile was previously updated about 17 years ago on Jul 22, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BIG LAKE COUNTRY CLUB below.
NPI Profile for
BIG LAKE COUNTRY CLUB
(more than 18 years ago)
HOUSTON, AK 99694-2528 Phone: (907) 892-6944 Fax:
WASILLA, AK 99629-9136 Phone: (907) 892-6944 Fax:
STAFF OFFICE
Phone: (907) 892-6944
Identifiers for BIG LAKE COUNTRY CLUB
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | AK | HC78981 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 320900000X - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary) |
AK | 100554 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.