ALASKA NATIVE TRIBAL HEALTH CONSORTIUM (NPI# 1518417344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518417344 |
| Entity Type | Organization |
| Organization Name | ALASKA NATIVE TRIBAL HEALTH CONSORTIUM |
| Practice Address |
4315 Diplomacy Dr Anchorage AK 99508-5926 |
| Practice Telephone | 9077292850 |
| Practice Fax Number | 9077292362 |
| Mailing Telephone | 9077292850 |
| Mailing Fax Number | 9077292362 |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2016-10-05 |
| Authorized Official Name | MR. GARVIN FEDERENKO (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 9077292850 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 347E00000X | Transportation Broker | 255468 | AK | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 1647593 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679931059 | Alaska Native Tribal Health Consortium | Pharmacy | 3900 Ambassador Dr Ste 311, Anchorage, AK 99508-5922 | 2016-02-01 |
| 1720460652 | Alaska Native Tribal Health Consortium | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 3801 University Lake Dr Ste 100, Anchorage, AK 99508-4658 | 2015-06-27 |
| 1972869071 | Alaska Native Tribal Health Consortium | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1w326, 4315 Diplomacy Drive, Anchorage, AK 99508 | 2012-04-03 |
| 1851601967 | Alaska Native Tribal Health Consortium | Dentist | 610 Akiachuk Dr., Suite 208, Anchorage, AK 99559 | 2010-10-08 |
| 1457735003 | Alaska Native Tribal Health Consortium | Clinic/Center | 3449 Rezanof Dr E, Kodiak, AK 99615-6952 | 2015-07-14 |
| 1700011897 | Alaska Native Tribal Health Consortium | Podiatrist | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2009-05-19 |
| 1023290855 | Alaska Native Tribal Health Consortium | General Acute Care Hospital | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2007-12-04 |
| 1245439082 | Alaska Native Tribal Health Consortium | General Acute Care Hospital | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2007-07-12 |
| 1437368891 | Alaska Native Tribal Health Consortium | General Acute Care Hospital | 4315 Diplomacy Dr, Anchorage, AK 99508 | 2007-05-22 |
| 1093924458 | Alaska Native Tribal Health Consortium | General Acute Care Hospital | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2007-05-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Alaska Native Tribal Health Consortium | 3900 Ambassador Dr, Anchorage, AK 99508 |
| Street Address |
4315 DIPLOMACY DR |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-5926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972509669 | Steven James Denson | Chiropractor | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2005-06-27 |
| 1982202156 | Christina Eldridge | Pharmacist | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2020-10-11 |
| 1699393132 | Southcentral Foundation | Dentist | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2020-07-10 |
| 1699304725 | Meghan Ballard | Occupational Therapist | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2020-04-01 |
| 1922633650 | Laura Cantrell | Student in an Organized Health Care Education/Training Program | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2020-03-03 |
| 1609416064 | Matthew Wade | Nurse Anesthetist, Certified Registered | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2020-01-13 |
| 1407494677 | Michael Bruce | Preventive Medicine | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2019-12-18 |
| 1336787993 | Korin Scott | Occupational Therapist | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2019-12-13 |
| 1215578422 | Andrew James Baker | Registered Nurse | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2019-09-30 |
| 1861042749 | Anthony Martin | Physical Therapist | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2019-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| Taxonomy Code | 347E00000X |
| Grouping | Transportation Services |
| Classification | Transportation Broker |
| A public or private organization or business contracted to arrange non-emergency medical transportation services, including appropriate ancillary services, e.g., lodging. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265671200 | Alaska Travel Source | Transportation Broker | 1236 E 72nd Ave, Anchorage, AK 99518-2370 | 2009-02-16 |
| 1942368428 | Yukon Kuskokwim Health Corp | Transportation Broker | 4700 Business Park Blvd, E25, Anchorage, AK 99503-7124 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265684112 | Bal, Inc | Transportation Broker | 32250 West Parks Highway, Willow, AK 99688 | 2008-10-22 |
| 1295245488 | Tanana Chiefs Confenerce | Transportation Broker | 1717 W Cowles St, Fairbanks, AK 99701-5926 | 2017-10-03 |
| 1306299714 | Yukon-kuskokwim Health Corporation | Transportation Broker | 700 Chief Eddie Hoffman Hwy, Bethel, AK 99559 | 2016-07-20 |
| 1821447079 | Norton Sound Health Corporation | Transportation Broker | 1000 Greg Krucheck Ave, Nome, AK 99762-0966 | 2016-06-08 |
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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.