NATIVE VILLAGE OF EYAK (NPI# 1134471287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134471287 |
| Entity Type | Organization |
| Organization Name | NATIVE VILLAGE OF EYAK |
| Other Organization Name | ILANKA COMMUNITY HEALTH CENTER |
| Practice Address |
705 Second St Cordova AK 99574 |
| Mailing Address |
Po Box 196720 Anchorage AK 99519-6720 |
| Practice Telephone | 9074243622 |
| Mailing Telephone | 9074243622 |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2020-05-27 |
| Authorized Official Name | PENNEY BENSON (ADMINISTRATOR) |
| Authorized Official Telephone | 9074243622 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | AK | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Ilanka Community Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821074535 | Native Village of Eyak | Clinic/Center | 705 Second St, Corona, AK 99574 | 2005-12-15 |
| Street Address |
705 SECOND ST |
| City | CORDOVA |
| State | AK |
| Zip Code | 99574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355390 | Delia M. Reyes | Nurse Practitioner | 705 2nd St., Cordova, AK 99574 | 2020-10-29 |
| 1497376750 | Myaliesa Bingham | Massage Therapist | 622 1st St #201, Cordova, AK 99574 | 2020-04-28 |
| 1154951408 | Richard Donald Bingham | Chiropractor | 622 1st Street, 201, Cordova, AK 99574 | 2020-01-24 |
| 1497230353 | Acupuncture & Wellness of Cordova | Acupuncturist | 520 2nd Street, Cordova, AK 99574 | 2018-09-26 |
| 1659869295 | Joan Catherine Herschleb | Acupuncturist | 520 Second Street, Cordova, AK 99574 | 2018-04-30 |
| 1134534712 | Brian Iutzi | Family Medicine | Ilanka Clinic, 705 2nd Street, Cordova, AK 99574 | 2014-06-23 |
| 1356776165 | Susan E.c. Powell | Counselor | 705 Second Street, Cordova, AK 99574 | 2013-09-11 |
| 1962679878 | City of Cordova | Ambulance | 602 Railroad Ave, Cordova, AK 99574 | 2008-05-09 |
| 1568649374 | Laurie A Phillips | Case Manager/Care Coordinator | 602 Chase, Cordova, AK 99574 | 2008-01-23 |
| 1578749412 | Kris Susan Johnston | Case Manager/Care Coordinator | 602 Chase Ave., Cordova, AK 99574 | 2008-01-10 |
| Find all providers in zip 99574 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568930170 | 901 Optical LLC | Clinic/Center | 1795 N Germantown Pkwy, Cordova, TN 38016-5092 | 2018-11-13 |
| 1609174903 | Tramsu LLC | Clinic/Center | 640 N Germantown Pkwy, Suite 200, Cordova, TN 38018-6210 | 2011-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596026 | Pivotal Care Partnership | Clinic/Center | 2925 Debarr Rd Ste 199, Anchorage, AK 99508-2959 | 2020-10-19 |
| 1942807862 | Turning Leaf Literacy Center, LLC | Clinic/Center | 690 E Susitna Ave, Wasilla, AK 99654-8124 | 2020-10-04 |
| 1982237921 | Revive Aesthetics & Spa Wasilla, LLC | Clinic/Center | 1175 N Leatherleaf Loop Ste F, Wasilla, AK 99654-6527 | 2020-02-18 |
| 1821560160 | Ideal Option, Pllc | Clinic/Center | 3159 Tongass Ave, Ketchikan, AK 99901-5745 | 2018-12-27 |
| 1902389943 | Ideal Option, Pllc | Clinic/Center | 8585 Old Dairy Rd Ste 200, Juneau, AK 99801-8094 | 2018-09-14 |
| 1063911287 | Ideal Option, Pllc | Clinic/Center | 416 Frontage Rd # 400, Kenai, AK 99611-7770 | 2018-02-02 |
| 1255857876 | Vera Whole Health | Clinic/Center | 582 E 36th Ave Ste 203, Anchorage, AK 99503-4138 | 2017-08-15 |
| 1871020123 | Coburn Health Consulting LLC | Clinic/Center | 4401 Business Park Blvd # N-26, Anchorage, AK 99503-7172 | 2017-05-17 |
| 1063958452 | Southeast Alaska Regional Health Consortium | Clinic/Center | Cannery Site, Excursion Inlet, AK 99850 | 2017-01-10 |
| 1962948356 | Southeast Alaska Regional Health Consortium | Clinic/Center | Community Building, Port Protection, AK 99950 | 2017-01-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.