NINILCHIK VILLAGE TRIBAL COUNCIL (NPI# 1609093723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609093723 |
| Entity Type | Organization |
| Organization Name | NINILCHIK VILLAGE TRIBAL COUNCIL |
| Other Organization Name | NINILCHIK COMMUNITY CLINIC |
| Practice Address |
15765 Kingsley Road Ninilchik AK 99639-9759 |
| Mailing Address |
Po Box 39368 Ninilchik AK 99639-0368 |
| Practice Telephone | 9075673970 |
| Practice Fax Number | 9075673948 |
| Mailing Telephone | 9075673970 |
| Mailing Fax Number | 9075673948 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2011-06-08 |
| Authorized Official Name | MR. IVAN ZANE ENCELEWSKI (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9075673313 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
296082 | AK | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | CL 2699 | 05 |
| Other Name | Type Code |
|---|---|
| Ninilchik Community Clinic | Other Name - Individual/Organization |
| Street Address |
15765 KINGSLEY ROAD |
| City | NINILCHIK |
| State | AK |
| Zip Code | 99639-9759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194388686 | Judith Annette Hubbard | Counselor | 15765 Kingsley Road, Ninilchik, AK 99639 | 2019-04-19 |
| 1457610230 | Helena Mary Lois Bock | Clinic/Center | 15765 Kingsley Road, Ninilchik, AK 99639-9368 | 2012-05-14 |
| 1669783676 | Carrie Ann Warren | Nurse Practitioner | 15765 Kingsley Road, Ninilchik, AK 99639 | 2010-06-24 |
| 1215155213 | Mary Ellen Doty | Nurse Practitioner | 15765 Kingsley Road, Ninilchik, AK 99639-9759 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285280784 | Zoe Dixon | Peer Specialist | 15765 Kingsley Rd, Ninilchik, AK 99639 | 2019-08-12 |
| 1518520188 | Robert Stark | Peer Specialist | 15765 Kingsley Rd., Ninilchik, AK 99639 | 2019-04-18 |
| 1992245682 | Happy Valley Assisted Living LLC | Assisted Living Facility | 69423 Seitz Ave, Ninilchik, AK 99639 | 2017-03-01 |
| 1497088769 | Kristina L Finkenbinder | Registered Nurse | 15910 Sterling Hwy, Ninilchik, AK 99639 | 2009-09-17 |
| 1679715577 | Catherine Pilibos West | Chiropractor | 15971 Sterling Highway, Ninilchik, AK 99639 | 2009-03-24 |
| 1316186281 | Ninilchik Family Dentistry P.C. | Dentist | 66334 Aspen St., Ninilchik, AK 99639 | 2009-02-17 |
| 1346260296 | Zestivinal Zoubek | Dentist | 66334 Aspen Av, Ninilchik, AK 99639 | 2006-07-20 |
| 1619585692 | Happy Valley Assisted Living LLC | Assisted Living Facility | 69423 Seitz Ave, Home 2, Ninilchik, AK 99639 | 2020-07-16 |
| 1376812107 | Ella May Cooper-waldron | Nurse Practitioner | Mile 126.8 Sterling Hwy, Ninilchik, AK 99639-0093 | 2011-12-23 |
| 1093840324 | Ninilchik Senior Citizens, Inc. | Voluntary or Charitable | 66265 Aspen Ave, Ninilchik, AK 99639-0422 | 2007-02-23 |
| Find all providers in zip 99639 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457610230 | Helena Mary Lois Bock | Clinic/Center | 15765 Kingsley Road, Ninilchik, AK 99639-9368 | 2012-05-14 |
| 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.