NATIVE VILLAGE OF SCAMMON BAY (NPI# 1861014920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861014920 |
| Entity Type | Organization |
| Organization Name | NATIVE VILLAGE OF SCAMMON BAY |
| Practice Address |
103 Askinuk Street Scammon Bay AK 99662 |
| Mailing Address |
Po Box 126 Scammon Bay AK 99662-0126 |
| Practice Telephone | 9077642641 |
| Mailing Telephone | 9077642641 |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2020-05-12 |
| Authorized Official Name | WENDY STEVENS (NVSB THSEM TPHSS) |
| Authorized Official Telephone | 9077642641 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities | ||
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities | ||
| N | 385H00000X | Respite Care | Respite Care Facility | ||
| N | 251V00000X | Voluntary or Charitable | Agencies | ||
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities | ||
| Y | 261QP0905X |
Clinic/Center Specialization: Public Health, State or Local |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Scammon Bay Traditional Council | Doing Business As Name - Organization |
| Street Address |
103 ASKINUK STREET |
| City | SCAMMON BAY |
| State | AK |
| Zip Code | 99662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619248200 | Isaac Rivers | Community Health Worker | 128 Front Street, Scammon Bay, AK 99662 | 2012-01-13 |
| 1083148928 | Isiah Rivers | Community Health Worker | 128 Front Street, Scammon Bay, AK 99662 | 2017-04-18 |
| 1326599788 | Esther Tobeluk | Community Health Worker | 128 Front Street, Scammon Bay, AK 99662 | 2016-10-20 |
| 1609115799 | Marsha Smith | Community Health Worker | 128 Front Street, Scammon Bay, AK 99662 | 2013-02-08 |
| 1952748386 | Alice Georgia Hunter | Community Health Worker | 128 Front St, Scammon Bay, AK 99662-0129 | 2013-05-24 |
| 1184997108 | Mary Pauline Aguchak | Technician, Other | 150 Main Rd, Scammon Bay Clinic, Scammon Bay, AK 99662-0150 | 2012-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083277263 | Lianna R Kasayuli | Community Health Worker | 128 Front Street, Scammon Bay, AK 99667 | 2019-04-15 |
| Taxonomy Code | 261QP0905X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Public Health, State or Local |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295127694 | State of Alaska | Clinic/Center | 3601 C St, Suite 760, Anchorage, AK 99503-5923 | 2015-02-23 |
| 1790964708 | State of Alaska Department of Administration | Clinic/Center | 350 Main St, Room 514, Juneau, AK 99801-1149 | 2007-10-25 |
| City | SCAMMON BAY |
| Zip Code | 99662 |
Please comment or provide details below to improve the information on NATIVE VILLAGE OF SCAMMON BAY.
| 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.