SELDOVIA VILLAGE TRIBE (NPI# 1336178847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336178847 |
| Entity Type | Organization |
| Organization Name | SELDOVIA VILLAGE TRIBE |
| Practice Address |
880 E End Rd Homer AK 99603-7201 |
| Practice Telephone | 9072262228 |
| Practice Fax Number | 9072262230 |
| Mailing Telephone | 9072262228 |
| Mailing Fax Number | 9072262230 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2019-12-23 |
| Authorized Official Name | MS. EMILY READ (SVTHW DIRECTOR) |
| Authorized Official Telephone | 9072262208 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 1000849 | 05 | |
| AK | 1003814 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 206 Main St, Seldovia, AK 99663 | 9074353262 | 9072347880 |
| 34361 Sterling Highway, Anchor Point, AK 995569960 | 9072262238 | 9072262336 |
| 72351 Milo Fritz Ave, Anchor Point, AK 99556 | 9072262238 | 9072262336 |
| Street Address |
880 E END RD |
| City | HOMER |
| State | AK |
| Zip Code | 99603-7201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881643682 | Daniel P Kiley | Dentist | 880 E End Rd, Homer, AK 99603 | 2006-05-09 |
| 1316589948 | Elizabeth Lynn Roedl | Dental Hygienist | 880 E End Rd, Homer, AK 99603-7201 | 2019-10-15 |
| 1528624608 | Rita Wettach | Massage Therapist | 880 E End Rd, Homer, AK 99603-7201 | 2019-05-14 |
| 1730645391 | Sarah Joanne Laque | Massage Therapist | 880 E End Rd, Homer, AK 99603-7201 | 2019-02-19 |
| 1194158774 | Christine Sophia Brubaker | Nurse Practitioner | 880 E End Rd, Homer, AK 99603-7201 | 2013-08-19 |
| 1346686797 | Jacob C Owens | Dentist | 880 E End Rd, Homer, AK 99603-7201 | 2013-05-13 |
| 1124367859 | Jennifer Ann Hayes | Dental Hygienist | 880 E End Rd, Homer, AK 99603-7201 | 2013-01-31 |
| 1104134089 | Eva Louise Michels | Nurse Practitioner | 880 E End Rd, Homer, AK 99603-7201 | 2010-09-14 |
| 1073788949 | Osnat Kaspi | Counselor | 880 E End Rd, Homer, AK 99603-7201 | 2008-04-23 |
| 1164575452 | Melissa Ann Bunker | Nurse Practitioner | 880 E End Rd, Homer, AK 99603-7201 | 2007-01-19 |
| Find all providers in the same location | ||||
| 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 | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558815662 | Grace Health, Inc. | Clinic/Center | 403 S Hillsdale St, Homer, MI 49245-1247 | 2016-08-05 |
| 1780633982 | Family Health Network of Central New York, Inc. | Clinic/Center | 85 S West St, Homer, NY 13077-1542 | 2006-05-08 |
| 1033304274 | Medlink Georgia Inc | Clinic/Center | 1244 Historic Homer Hwy, Homer, GA 30547-2737 | 2007-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821511064 | Cross Road Health Ministries, Inc. | Clinic/Center | 187 Glenn Highway, Glennallen, AK 99588-0589 | 2017-07-19 |
| 1568902583 | Sunshine Community Health Center, Inc | Clinic/Center | 42728 S Parks Highway, Talkeetna, AK 99676 | 2017-02-24 |
| 1467991455 | Sunshine Community Health Center, Inc | Clinic/Center | 13930 E Timberwolf Loop, Talkeetna, AK 99676 | 2017-02-23 |
| 1477003978 | Alaska Island Community Services | Clinic/Center | 110 Lynch Street, Wrangell, AK 99929 | 2016-10-07 |
| 1679718019 | Camai Community Health Center, Inc. | Clinic/Center | # 2 School Rd, Naknek, AK 99633-0211 | 2008-12-15 |
| 1487818639 | City of Galena | Clinic/Center | 74 Ruby Road, Ruby, AK 99768-0074 | 2008-07-17 |
| 1568626760 | City of Galena | Clinic/Center | 30 Koyukuk Lane, Koyukuk, AK 99754-0030 | 2008-07-16 |
| 1669636866 | City of Galena | Clinic/Center | 148 Katido Street, Kaltag, AK 99748-0148 | 2008-07-16 |
| 1952422859 | Alaska Island Community Services | Clinic/Center | Naukati Community School, Naukati, AK 99950 | 2007-04-02 |
| 1699892307 | Sunshine Community Health Center Inc | Clinic/Center | 24091 W Long Lake Rd, Willow, AK 99688-9999 | 2007-03-26 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SELDOVIA VILLAGE TRIBE.
| 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.