CITY OF GALENA (NPI# 1487818639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487818639 |
| Entity Type | Organization |
| Organization Name | CITY OF GALENA |
| Other Organization Name | EDGAR NOLLNER HELATH CENTER |
| Practice Address |
74 Ruby Road Ruby AK 99768-0074 |
| Mailing Address |
77 Antoski Avenue Galena AK 99741-0077 |
| Practice Telephone | 9074684433 |
| Practice Fax Number | 9074684411 |
| Mailing Telephone | 9076562366 |
| Mailing Fax Number | 9076561525 |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2008-07-17 |
| Authorized Official Name | CATHY ANNE DESANTO (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9076562366 |
| Authorized Official Credential | ANP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | CL4429 | 05 |
| Other Name | Type Code |
|---|---|
| Edgar Nollner Helath Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1285898478 | City of Galena | Clinic/Center | 90 Main Street, Huslia, AK 99746-0090 | 2008-07-16 |
| 1386808582 | City of Galena | Clinic/Center | 10 Main Street, Nulato, AK 99765-0010 | 2008-07-16 |
| Street Address |
74 RUBY ROAD |
| City | RUBY |
| State | AK |
| Zip Code | 99768-0074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861829798 | Krystie Simon | Community Health Worker | 74 Ruby Road, Ruby, AK 99768 | 2013-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407283336 | Merreline Kangas | Community Health Worker | 74 Ruby Rd, Ruby, AK 99768 | 2013-10-10 |
| 1366673444 | Donald Jr Victor Honea | Student in an Organized Health Care Education/Training Program | 102 Olsen Road, Ruby, AK 99768-0076 | 2009-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922584481 | Sandhills Medical Foundation, Inc. | Clinic/Center | 290 Market Street, Ruby, SC 29741 | 2018-07-17 |
| 1528576600 | Dignity In-home Care Agency LLC | Case Management | 303 Rock Springs Church Rd, Ruby, SC 29741 | 2018-01-11 |
| 1407283336 | Merreline Kangas | Community Health Worker | 74 Ruby Rd, Ruby, AK 99768 | 2013-10-10 |
| 1366673444 | Donald Jr Victor Honea | Student in an Organized Health Care Education/Training Program | 102 Olsen Road, Ruby, AK 99768-0076 | 2009-08-06 |
| 1861829798 | Krystie Simon | Community Health Worker | 74 Ruby Road, Ruby, AK 99768 | 2013-10-10 |
| 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 |
|---|---|---|---|---|
| 1922584481 | Sandhills Medical Foundation, Inc. | Clinic/Center | 290 Market Street, Ruby, SC 29741 | 2018-07-17 |
| 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 |
| 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 |
| 1629105804 | Bristol Bay Borough | Clinic/Center | 2 School Road, Naknek, AK 99633-0211 | 2007-02-27 |
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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.