CHITINA TRADITIONAL INDIAN VILLAGE COUNCIL (NPI# 1235595562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235595562 |
| Entity Type | Organization |
| Organization Name | CHITINA TRADITIONAL INDIAN VILLAGE COUNCIL |
| Other Organization Name | CHITINA TRIBAL AND COMMUNITY HEALTH CENTER |
| Practice Address |
Mile 28.5 Edgerton Hwy Chitina AK 99566 |
| Mailing Address |
Po Box 31 Chitina AK 99566-0031 |
| Practice Telephone | 9078232213 |
| Mailing Telephone | 9078232213 |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2018-07-23 |
| Authorized Official Name | MRS. ROSE TYONE (PRESIDENT) |
| Authorized Official Telephone | 9078232215 |
| Authorized Official Credential | AO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
306263 | AK | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Chitina Tribal and Community Health Center | Doing Business As Name - Organization |
| Street Address |
MILE 28.5 EDGERTON HWY |
| City | CHITINA |
| State | AK |
| Zip Code | 99566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720578123 | Sara A Macdougall | Community Health Worker | Mile 28.5 Edgerton Hwy, Chitina, AK 99566 | 2018-05-11 |
| 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 |
| 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 |
| 1851649305 | Alaska Island Community Services | Clinic/Center | 232 Wood St, Wrangell, AK 99929-1231 | 2012-08-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CHITINA TRADITIONAL INDIAN VILLAGE COUNCIL.
| 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.