NINILCHIK VILLAGE TRIBAL COUNCIL NPI 1609093723

NPI Information

NPI: 1609093723
Provider Name: NINILCHIK VILLAGE TRIBAL COUNCIL

Other Name: NINILCHIK COMMUNITY CLINIC

Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

Address:
15765 KINGSLEY ROAD
NINILCHIK, AK
ZIP 99639
Phone: (907) 567-3970
Get Directions

NINILCHIK VILLAGE TRIBAL COUNCIL is a community health clinic center in Ninilchik, AK. NINILCHIK VILLAGE TRIBAL COUNCIL NPI is 1609093723. The provider is registered as an organization entity type.
The provider Other Name Is Ninilchik Community Clinic.

The provider's business location address is:

15765 KINGSLEY ROAD
NINILCHIK, AK
ZIP 99639-759
Phone: (907) 567-3970
Fax: (907) 567-3948

The provider's authorized official is Ivan Zane Encelewski .
The authorized official title is Executive Director and has the following contact phone number (907) 567-3313.

The enumeration date for this NPI number is 4/19/2007 and was last updated on 6/8/2011.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QC1500X	Clinic/Center	Community Health	296082	ALASKA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CL 2699	MEDICAID	ALASKA

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: 4/28/2024

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »