CITY OF GALENA (NPI# 1669636866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669636866 |
| Entity Type | Organization |
| Organization Name | CITY OF GALENA |
| Other Organization Name | EDGAR NOLLNER HEALTH CENTER |
| Practice Address |
148 Katido Street Kaltag AK 99748-0148 |
| Mailing Address |
77 Antoski Avenue Galena AK 99741-0077 |
| Practice Telephone | 9075342209 |
| Practice Fax Number | 9075342216 |
| Mailing Telephone | 9076562366 |
| Mailing Fax Number | 9076561525 |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2008-07-16 |
| 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 Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
148 KATIDO STREET |
| City | KALTAG |
| State | AK |
| Zip Code | 99748-0148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902177637 | Henry P Nickoli | Community Health Worker | 2nd St., # 56, Kaltag, AK 99748 | 2012-01-26 |
| 1699046524 | Jessica Mcginty | Community Health Worker | 32 Second St, Kaltag, AK 99748 | 2012-01-24 |
| 1043348279 | Jessica Amy Goff | Social Worker | 32 Second Street, Kaltag, AK 99748 | 2007-03-01 |
| 1891812228 | Violet Marie Burnham | Community/Behavioral Health | 400 Blackberry Lane, Kaltag, AK 99748-0008 | 2007-03-22 |
| 1184995003 | Erica Esmailka | Community Health Worker | 32 Second Street., Kaltag, AK 99748-0028 | 2012-01-24 |
| 1770910606 | Loreena Semaken | Community Health Worker | 32 2nd Street, Kaltag, AK 99748-0148 | 2013-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902177637 | Henry P Nickoli | Community Health Worker | 2nd St., # 56, Kaltag, AK 99748 | 2012-01-26 |
| 1699046524 | Jessica Mcginty | Community Health Worker | 32 Second St, Kaltag, AK 99748 | 2012-01-24 |
| 1184995003 | Erica Esmailka | Community Health Worker | 32 Second Street., Kaltag, AK 99748-0028 | 2012-01-24 |
| 1891812228 | Violet Marie Burnham | Community/Behavioral Health | 400 Blackberry Lane, Kaltag, AK 99748-0008 | 2007-03-22 |
| 1043348279 | Jessica Amy Goff | Social Worker | 32 Second Street, Kaltag, AK 99748 | 2007-03-01 |
| 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 |
|---|---|---|---|---|
| 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 |
| 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.