KENAITZE INDIAN TRIBE (NPI# 1932114600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932114600 |
| Entity Type | Organization |
| Organization Name | KENAITZE INDIAN TRIBE |
| Other Organization Name | DENA'INA WELLNESS CENTER |
| Practice Address |
508 Upland Street Kenai AK 99611 |
| Mailing Address |
P.o. Box 988 Kenai AK 99611 |
| Practice Telephone | 9073357550 |
| Practice Fax Number | 8884913360 |
| Mailing Telephone | 9073357550 |
| Mailing Fax Number | 8884913360 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2014-05-20 |
| Authorized Official Name | WENDY D RICE (HEALTH SERVICE ADMINISTRATOR) |
| Authorized Official Telephone | 9073357550 |
| Is Organization Subpart | Y |
| Parent Organization Name | KENAITZE INDIAN TRIBE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| N | 261Q00000X | Clinic/Center | MD2004 | AK | Ambulatory Health Care Facilities |
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | CL9243 | 05 |
| Other Name | Type Code |
|---|---|
| Dena'ina Wellness Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295972677 | Kenaitze Indian Tribe | Dentist | 412 Frontage Rd, Suite 20, Kenai, AK 99611-7770 | 2009-01-07 |
| 1578774105 | Kenaitze Indian Tribe | Home Health | 1000 Mission Ave, Kenai, AK 99611-8015 | 2007-05-25 |
| 1699986687 | Kenaitze Indian Tribe | Community/Behavioral Health | 110 N Willow St, Kenai, AK 99611-7701 | 2007-05-24 |
| 1023229010 | Kenaitze Indian Tribe | Clinic/Center | 110 N Willow St, Kenai, AK 99611-7701 | 2007-05-24 |
| 1457491409 | Kenaitze Indian Tribe | Counselor | 110 N Willow St, Kenai, AK 99611-7701 | 2007-02-07 |
| Street Address |
508 UPLAND STREET |
| City | KENAI |
| State | AK |
| Zip Code | 99611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518213503 | Kelly Vaughan Hall | Nurse Practitioner | 508 Upland Street, Kenai, AK 99611 | 2012-07-27 |
| 1013134360 | John N. Selden | Dentist | 508 Upland Street, Kenai, AK 99611 | 2007-04-19 |
| 1902953144 | William M Phillips | Optometrist | 508 Upland Street, Kenai, AK 99611 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649803099 | Guardian Flight LLC | Ambulance | 145 Granite Point Ct, Kenai, AK 99611 | 2020-02-13 |
| 1104482967 | James Daniel Hudson | Massage Therapist | 601 Frontage Rd Suite 103, Kenai, AK 99611 | 2019-05-16 |
| 1255996351 | Shelly Lynn Niblack | Counselor | 10200, Kenai Sour Hwy, Kenai, AK 99611 | 2019-05-03 |
| 1780142042 | Odyssey Family Practice LLC | Clinic/Center | 11595 Kenai Spur Highway, Kenai, AK 99611 | 2019-03-06 |
| 1043793656 | Jerri Ann Chivers | Massage Therapist | 10815 Kenai Spur Highway, Kenai, AK 99611 | 2018-09-10 |
| 1003320060 | Christine G. Morin | Massage Therapist | 1608 Tanga Circle, Kenai, AK 99611 | 2017-11-28 |
| 1013433259 | Amanda Mckinley | Registered Nurse | 630 Barnacle Way Suite A, Kenai, AK 99611 | 2017-08-18 |
| 1780132753 | Kenai Peninsula Imaging Center LLC | Clinic/Center | 100 Trading Bay Rd Ste 7, Kenai, AK 99611 | 2016-09-19 |
| 1376905000 | Savana Long | Licensed Practical Nurse | 1700 Cone Avenue, Kenai, AK 99611 | 2016-03-22 |
| 1477977684 | Jac Enterprises, Inc. | Assisted Living Facility | 701 North Forest Dr, Kenai, AK 99611 | 2014-02-07 |
| Find all providers in zip 99611 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861014920 | Native Village of Scammon Bay | Clinic/Center | 103 Askinuk Street, Scammon Bay, AK 99662 | 2020-05-12 |
| 1699332676 | Occupational Health Centers of Alaska PC | Clinic/Center | 4100 Lake Otis Pkwy Ste 100, Anchorage, AK 99508-5230 | 2019-05-24 |
| 1679139596 | Empower Medical and Wellness | Clinic/Center | 1150 S Colony Way Ste 1, Palmer, AK 99645-6967 | 2019-05-16 |
| 1215419361 | The Get Well Experience | Clinic/Center | 6251 Tuttle Pl Ste 102, Anchorage, AK 99507-2099 | 2018-09-05 |
| 1275073876 | Anchorage Pediatric Night Clinic | Clinic/Center | 20209 Eagle River Rd, Eagle River, AK 99577-6800 | 2017-03-01 |
| 1083159164 | North Star Acupuncture LLC | Clinic/Center | 630 E 57th Pl, Anchorage, AK 99518-1305 | 2016-12-28 |
| 1780054031 | Essential Energy | Clinic/Center | 11027 Katlian Dr, Eagle River, AK 99577-8124 | 2015-09-30 |
| 1821476599 | Yukon-kuskokwim Health Corporation | Clinic/Center | 1260 A Chief Eddie Hoffman Hwy, Bethel, AK 99559 | 2015-05-13 |
| 1447640560 | Golden Friendship Home for Elderly | Clinic/Center | 9180 Aphrodite Dr, Anchorage, AK 99515-1499 | 2015-01-27 |
| 1265821359 | Southeast Alaska Regional Health Consortium | Clinic/Center | 1305 Craig-klawock Hwy, Craig, AK 99921 | 2015-01-13 |
| 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.