KENAITZE INDIAN TRIBE NPI 1699986687

NPI Information

NPI: 1699986687
Provider Name: KENAITZE INDIAN TRIBE

Doing Business As: NAKENU FAMILY CENTER MENTAL HEALTH CLINIC

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
510 UPLAND ST
KENAI, AK
ZIP 99611
Phone: (907) 335-7300
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KENAITZE INDIAN TRIBE is a federally qualified health center (fqhc) clinic center in Kenai, AK. KENAITZE INDIAN TRIBE NPI is 1699986687. The provider is registered as an organization entity type.
The provider Is Doing Business As Nakenu Family Center Mental Health Clinic.

The provider's business location address is:

510 UPLAND ST
KENAI, AK
ZIP 99611-028
Phone: (907) 335-7300
Fax: (888) 491-3243

The provider's authorized official is Christopher Koski .
The authorized official title is Director Of Health Systems and has the following contact phone number (907) 335-7557.

The enumeration date for this NPI number is 5/24/2007 and was last updated on 2/12/2024.

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	Primary
1	251S00000X	Community/Behavioral Health		No
2	261QM0850X	Clinic/Center	Adult Mental Health	No
3	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
4	332800000X	Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy		No
5	347C00000X	Private Vehicle		No
6	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	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	MH2436	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

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