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KODIAK AREA NATIVE ASSOCIATION NPI 1467801753


NPI Information

NPI: 1467801753
Provider Name: KODIAK AREA NATIVE ASSOCIATION
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 02D2164620

Address:
3449 E REZANOF DR
KODIAK, AK
ZIP 99615
Phone: (907) 486-9868
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KODIAK AREA NATIVE ASSOCIATION is a rural health clinic center in Kodiak, AK. KODIAK AREA NATIVE ASSOCIATION NPI is 1467801753. The provider is registered as an organization entity type.

The provider's business location address is:

3449 E REZANOF DR
KODIAK, AK
ZIP 99615-952
Phone: (907) 486-9868
Fax: (907) 486-9884

The provider's authorized official is Tammy Hansen .
The authorized official title is Vp Of Health Services and has the following contact phone number (907) 486-9874.

The CLIA number assigned to this NPI record is 02D2164620 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/7/2016 and was last updated on 6/7/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR1300XClinic/CenterRural Health15-1364-IALASKAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.