BIG LAKE COUNTRY CLUB – Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility, NPI 1154580835

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

BIG LAKE COUNTRY CLUB is a healthcare provider. based in Wasilla, Alaska. specializing in Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility. The organization holds a License No. 100554 (AK). The NPI Number for BIG LAKE COUNTRY CLUB is 1154580835

Main info

Organization
Name
BIG LAKE COUNTRY CLUB
NPI
1154580835
Phone
(907) 892-6944
Address
PO BOX 299136
Authorized Official
JESS G ADAMS STAFF OFFICE
Enumeration Date
6 June 2008
Last Update Date
22 July 2009
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for BIG LAKE COUNTRY CLUB

  • PO BOX 299136

    WASILLA, AK 996299136

    Phone: (907) 892-6944

    Type: Mailing

  • 12528, Hawk Lane, Houston, Matanuska-Susitna, Alaska, 99694, United States

    HOUSTON, AK 996942528

    Phone: (907) 892-6944

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99629)

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Reviews

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Frequently asked questions

What federal number belongs to BIG LAKE COUNTRY CLUB?
The federal identifier for BIG LAKE COUNTRY CLUB is NPI 1154580835.
Does this profile mean BIG LAKE COUNTRY CLUB is currently active?
Yes — BIG LAKE COUNTRY CLUB appears active in the national provider directory.
What does BIG LAKE COUNTRY CLUB treat or focus on?
Patients typically see BIG LAKE COUNTRY CLUB under the specialty Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility. Clinical services aligned with this taxonomy classification.
Where does public data place BIG LAKE COUNTRY CLUB?
The snapshot lists Wasilla, Alaska for BIG LAKE COUNTRY CLUB; download NPPES for the complete set.
Is BIG LAKE COUNTRY CLUB a real provider?
This page reflects official NPPES data for NPI 1154580835. Always confirm identity and privileges with the practice and licensing boards.

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