TRIBAL GOVERNMENT OF ST. PAUL ISLAND (NPI# 1669093837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669093837 |
| Entity Type | Organization |
| Organization Name | TRIBAL GOVERNMENT OF ST. PAUL ISLAND |
| Practice Address |
1000 Polovina Turnpike St. Paul Island AK 99660 |
| Mailing Address |
Po Box 86 Saint Paul Island AK 99660-0086 |
| Practice Telephone | 9075468301 |
| Mailing Telephone | 9075463200 |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2020-04-29 |
| Authorized Official Name | CHARLENE NAULTY (DIRECTOR) |
| Authorized Official Telephone | 9075463200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 174200000X | Meals | Other Service Providers | ||
| N | 177F00000X | Lodging | Other Service Providers | ||
| N | 251300000X | Local Education Agency (LEA) | Agencies | ||
| N | 251B00000X | Case Management | Agencies | ||
| N | 251E00000X | Home Health | Agencies | ||
| N | 251K00000X | Public Health or Welfare | Agencies | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 253J00000X | Foster Care Agency | Agencies | ||
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Aleut Community of St. Paul Island | Doing Business As Name - Organization |
| Street Address |
1000 POLOVINA TURNPIKE |
| City | ST. PAUL ISLAND |
| State | AK |
| Zip Code | 99660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316419096 | Cara Paige Alexandra Lestenkof-mandregan | Community Health Worker | 1000 Polovina Turnpike, St. Paul Island, AK 99660 | 2018-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013330901 | June Mcglashan-shabolin | Community Health Worker | 1000 Polvenia Turnpike Rd, St. Paul, AK 99660 | 2014-01-28 |
| 1376851261 | Pauline Rukovishnikoff | Community Health Worker | 1000 Polovenia Turnpike Road, St. Paul, AK 99660 | 2010-09-14 |
| 1053525915 | Aleutian Pribilof Islands Association Inc | Community Health Worker | 1000 Polovenia Turnpike Rd, St. Paul Island, AK 99660 | 2007-05-10 |
| 1952448227 | Barbra J Keller | Nurse Practitioner | 1000 Polovina, St Paul Island, AK 99660 | 2007-01-30 |
| 1538233788 | Nancy E Sydnam | Family Medicine | St Paul Health Center, 1990 Polovenia Turnpike, St Paul, AK 99660 | 2006-11-20 |
| 1639241110 | Frederick Samuel Greene | Physician Assistant | 1000 Polivenia Tpke, Saint Paul Island, AK 99660 | 2006-11-14 |
| 1821013673 | Aleutian Pribilof Islands Assoc Inc | Counselor | 1000 Polovenia Turnpike, St Paul Health Center Behavioral Health, St Paul, AK 99660 | 2006-07-13 |
| 1790086957 | Matthew John Williams | Dentist | 1000 Polovenia Turnpike Road, St. Paul, AK 99660 | 2010-11-04 |
| 1831407725 | Monique Haretina Lestenkof | Community Health Worker | 1000 Polovenia Turnpike Road, St. Paul, AK 99660 | 2010-09-14 |
| 1740598630 | Tatiana Antionette Barraclough | Technician, Other | 1000 Polovenia Turnpike Road, St. Paul, AK 99660 | 2010-09-14 |
| Find all providers in zip 99660 | ||||
| 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 |
| 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 | ||||
| City | ST. PAUL ISLAND |
| Zip Code | 99660 |
Please comment or provide details below to improve the information on TRIBAL GOVERNMENT OF ST. PAUL ISLAND.
| 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.