KODIAK AREA NATIVE ASSOCIATION NPI 1801187471

NPI Information

NPI: 1801187471
Provider Name: KODIAK AREA NATIVE ASSOCIATION
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

CLIA Number: 02D0641002

Address:
3449 E REZANOF DR
KODIAK, AK
ZIP 99615
Phone: (907) 486-9800
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KODIAK AREA NATIVE ASSOCIATION is a community health clinic center in Kodiak, AK. KODIAK AREA NATIVE ASSOCIATION NPI is 1801187471. 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) 486-9800

The provider's authorized official is Judy Marie Simeonoff .
The authorized official title is Behavioral Health Aide Iii and has the following contact phone number (907) 836-2208.

The CLIA number assigned to this NPI record is 02D0641002 - community clinic with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/29/2011 and was last updated on 4/29/2011.

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			Yes

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

NPI Synchronization or Removal

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