SAMUEL SIMMONDS MEMORIAL HOSPITAL (NPI# 1881859577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881859577 |
| Entity Type | Organization |
| Organization Name | SAMUEL SIMMONDS MEMORIAL HOSPITAL |
| Practice Address |
1296 Agvik Street Barrow AK 99723 |
| Mailing Address |
1296 Agvik Street P.o. Box 29 Barrow AK 99723 |
| Practice Telephone | 9078524611 |
| Mailing Telephone | 9078524611 |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2008-07-23 |
| Authorized Official Name | DINA VILLANUEVA (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9078524611 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
28849 | AK | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | HS230P | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578758744 | Samuel Simmonds Memorial Hospital | General Acute Care Hospital | 1296 Agvik Street, Barrow, AK 99723-0029 | 2007-09-11 |
| 1225240310 | Samuel Simmonds Memorial Hospital | General Acute Care Hospital | 1296 Agvik Street, Barrow, AK 99723 | 2007-05-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SAMUEL SIMMONDS MEMORIAL HOSPITAL | 7000 Uula St, Barrow, AK 99723 |
| Street Address |
1296 AGVIK STREET |
| City | BARROW |
| State | AK |
| Zip Code | 99723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801899257 | Arctic Slope Native Association | Pharmacy | 1296 Agvik Street, Barrow, AK 99723-0029 | 2005-05-31 |
| 1609298421 | Michael Smalley | Licensed Practical Nurse | 1296 Agvik Street, Barrow, AK 99723-0029 | 2014-01-14 |
| 1366888539 | Kama Joy Blasing | Dental Hygienist | 1296 Agvik Street, Barrow, AK 99723 | 2013-05-15 |
| 1669714119 | Joseph Michael Rodriguez | Pharmacist | 1296 Agvik Street, Barrow, AK 99723-0029 | 2013-03-22 |
| 1902147952 | Palmer Tobias Wetzel IIi | Pharmacist | 1296 Agvik Street, Barrow, AK 99723-0029 | 2013-03-14 |
| 1770824716 | Tolulope Balogun | Pharmacist | 1296 Agvik Street, Barrow, AK 99723 | 2013-03-14 |
| 1003179177 | Arctic Slope Native Association | Clinic/Center | 1296 Agvik Street, Barrow, AK 99723 | 2012-06-22 |
| 1073841797 | Kimberly R Self | Dentist | 1296 Agvik Street, Barrow, AK 99723-0029 | 2009-11-19 |
| 1578758744 | Samuel Simmonds Memorial Hospital | General Acute Care Hospital | 1296 Agvik Street, Barrow, AK 99723-0029 | 2007-09-11 |
| 1326230756 | Asna-samuel Simmonds Memorial Hospital | General Acute Care Hospital | 1296 Agvik Street, Barrow, AK 99723-0029 | 2007-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780245340 | Monica Rowe | Counselor | Integrated Behavioral Health, 5200 Karluk Street #69, Barrow, AK 99723 | 2019-06-25 |
| 1215590963 | Jessica Rosette Elston | Counselor | 5200 Laura Madison, Barrow, AK 99723 | 2019-04-18 |
| 1871954248 | John Anthony Bove | Counselor | 5200 Karluk St., Barrow, AK 99723 | 2016-03-14 |
| 1578924254 | Nicole Panigeo Evans | Counselor | 1402 Nachik Street, Barrow, AK 99723 | 2016-03-09 |
| 1710352281 | Arctic Physical Medicine Barrow | Nurse Practitioner | 1655 Okpik St, Barrow, AK 99723 | 2015-12-09 |
| 1639563125 | Bertrand Britt Jr. | Registered Nurse | 579 Kingosak St., Barrow, AK 99723 | 2015-03-24 |
| 1619310687 | Arctic Therapy and Rehab Barrow, LLC | Physical Therapist | 1655 Okpik Street, Barrow, AK 99723 | 2013-04-09 |
| 1578693404 | Hope Community Resources Inc | Assisted Living Facility | 5115 Herman St, Barrow, AK 99723 | 2007-03-07 |
| 1720118847 | Hope Community Resources Inc | Day Training, Developmentally Disabled Services | 597 Kingosak St, Barrow, AK 99723 | 2007-03-07 |
| 1366517112 | North Slope Borough | Community/Behavioral Health | 1274 Agviq Street, Barrow, AK 99723 | 2006-11-21 |
| Find all providers in zip 99723 | ||||
| Taxonomy Code | 282NR1301X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Rural |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225240310 | Samuel Simmonds Memorial Hospital | General Acute Care Hospital | 1296 Agvik Street, Barrow, AK 99723 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639494263 | Central Peninsula General Hospital Inc | General Acute Care Hospital | 240 Hospital Pl, Ste 204, Soldotna, AK 99669-7559 | 2010-04-07 |
| 1093043234 | Central Peninsula General Hospital | General Acute Care Hospital | 289 N Fireweed St, Suite C, Soldotna, AK 99669-7540 | 2009-11-30 |
| 1255585360 | Nshc Unalakleet Subregional Clinic | General Acute Care Hospital | 189 Happy Valley Rd, Unalakleet, AK 99684-0189 | 2008-11-17 |
| 1003299108 | Central Peninsula General Hospital, Inc | General Acute Care Hospital | 805 Frontage Rd, Suite 123, Kenai, AK 99611-9104 | 2015-07-07 |
| 1275948424 | Central Peninsula General Hospital, Inc | General Acute Care Hospital | 240 Hospital Pl, Ste 303a, Soldotna, AK 99669-7559 | 2014-06-26 |
| 1780099051 | Central Peninsula General Hospital, Inc | General Acute Care Hospital | 240 Hospital Pl, Ste 203, Soldotna, AK 99669-7559 | 2014-06-25 |
| 1235480120 | Yukon Kuskokwim Health Corportation | General Acute Care Hospital | 700 Chief Eddie Hoffman Hwy, Ykhc Pharmacy Department, Bethel, AK 99559-0287 | 2012-10-02 |
| 1609143866 | Central Peninsula Hospital | General Acute Care Hospital | 250 Hospital Pl, Soldotna, AK 99669-7559 | 2011-11-16 |
| 1598063927 | Central Peninsula General Hospital Inc | General Acute Care Hospital | 240 Hospital Pl, Ste 305, Soldotna, AK 99669-7559 | 2011-03-09 |
| 1598063539 | Central Peninsula General Hospital Inc | General Acute Care Hospital | 108 E Corral Ave, Soldotna, AK 99669-7524 | 2011-02-28 |
| 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.