CHUGACHMIUT (NPI# 1902077829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902077829 |
| Entity Type | Organization |
| Organization Name | CHUGACHMIUT |
| Other Organization Name | NANWALEK CLINIC |
| Practice Address |
64834 Nikita Street Nanwalek AK 99603-6623 |
| Mailing Address |
Po Box 2088 Chugachmiut Seward AK 99664-2088 |
| Practice Telephone | 9072812250 |
| Practice Fax Number | 9072812244 |
| Mailing Telephone | 9072243490 |
| Mailing Fax Number | 9072245870 |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2016-08-10 |
| Authorized Official Name | ANGELA VANDERPOOL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9075624155 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | MD17554 | 05 |
| Other Name | Type Code |
|---|---|
| Nanwalek Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194889287 | Chugachmiut | Clinic/Center | 201 3rd Ave Suite 201, Seward, AK 99664-2088 | 2006-12-21 |
| 1750618856 | Chugachmiut | Community Health Worker | 201 3rd Avenue, Suite 201, Seward, AK 99664-2088 | 2009-11-10 |
| 1801067723 | Chugachmiut | Clinic/Center | 411 Old Village Road, Tatitlek, AK 99677 | 2008-03-19 |
| 1902077837 | Chugachmiut | Clinic/Center | 5530 Main Street, Port Graham, AK 99603 | 2008-03-19 |
| 1700057676 | Chugachmiut | Clinic/Center | 625 Main Street, Chenega Bay, AK 99574-8029 | 2008-03-18 |
| Street Address |
64834 NIKITA STREET |
| City | NANWALEK |
| State | AK |
| Zip Code | 99603-6623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235696717 | Quanah Rene Brewster | Community Health Worker | 64834 Nikita Street, Nanwalek, AK 99603 | 2019-02-21 |
| 1891926564 | Elias E Kvasnikoff | Community Health Worker | 64834 Nikita Street, Nanwalek, AK 99603-8023 | 2009-07-29 |
| 1164653838 | Mandy M Wood | Community Health Worker | 64834 Nikita Street, Nanwalek, AK 99603-8023 | 2009-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572387 | Morgan Dwyer | Counselor | 51310 Timber Bay Ct, Homer, AK 99603 | 2020-09-09 |
| 1346859824 | John George Hetrick | Counselor | 51310 Timber Bay Ct., Homer, AK 99603 | 2020-07-30 |
| 1093352502 | Katieostrommd | Obstetrics & Gynecology | 205 W Fairview, Homer, AK 99603 | 2019-12-03 |
| 1023651965 | Melissa Elizabeth Malcolm | Physical Therapy Assistant | 4107 Hohe Ave, Homer, AK 99603 | 2019-10-23 |
| 1184143620 | Homer Birth and Wellness Center | Clinic/Center | 3902 Shelford Street, Homer, AK 99603 | 2017-09-15 |
| 1588913271 | Sharon Marie Gorman | Registered Nurse | 3959 Ben Walters, Homer, AK 99603 | 2012-09-10 |
| 1477802197 | Aldergrove Assisted Living | Community Based Residential Treatment Facility, Mental Illness | 41045 Denny Lane, Homer, AK 99603 | 2012-09-10 |
| 1194087551 | Stephen Michael Mueller | Pharmacist | 3858 Lake Street, Suite #5, Lakeside Mall, Homer, AK 99603 | 2012-06-12 |
| 1962778001 | Homer Dental Center Inc | Dentist | 4014 Lake St., Ste 210, Homer, AK 99603 | 2012-03-22 |
| 1346544368 | William R Easton | General Practice | 2495 Bayridge Rd, Homer, AK 99603 | 2011-01-05 |
| Find all providers in zip 99603 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639652662 | Southcentral Foundation | Clinic/Center | 26341 Eklutna Village Rd, Chugiak, AK 99567-5148 | 2018-09-14 |
| 1881047108 | Aleutian Pribilof Islands Association | Clinic/Center | 111 Lakeview Rd., Nikolski, AK 99638 | 2016-07-21 |
| 1609232040 | Southcentral Foundation | Clinic/Center | 101 Indian Creek Road, Tyonek, AK 99682 | 2016-01-14 |
| 1235595562 | Chitina Traditional Indian Village Council | Clinic/Center | Mile 28.5 Edgerton Hwy, Chitina, AK 99566 | 2015-12-31 |
| 1770953903 | Southcentral Foundation | Clinic/Center | 1 Flight Line Rd, Port Alsworth, AK 99653-9801 | 2015-09-30 |
| 1144699216 | Southcentral Foundation | Clinic/Center | 4030 Salmon Way, Iguigig, AK 99613 | 2015-09-18 |
| 1295104644 | Southcentral Foundation | Clinic/Center | 102 Fireweed Lane, Newhalen, AK 99606 | 2015-09-16 |
| 1952770307 | Southcentral Foundation | Clinic/Center | 2516 Mountain Circle, Pedro Bay, AK 99647 | 2015-09-16 |
| 1205255957 | Front Street Health Center | Clinic/Center | 225 Front St Ste 202, Juneau, AK 99801-1244 | 2014-04-09 |
| 1043632037 | Southcentral Foundation | Clinic/Center | 11495 N Callison Street, Sutton, AK 99674 | 2014-01-10 |
| 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.