METLAKATLA INDIAN COMMUNITY (NPI# 1871725242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871725242 |
| Entity Type | Organization |
| Organization Name | METLAKATLA INDIAN COMMUNITY |
| Other Organization Name | ANNETTE ISLAND SERVICE UNIT - CHAP SERVICES |
| Practice Address |
563 Brendible Street Metlakatla AK 99926-0439 |
| Mailing Address |
Po Box 439 Metlakatla AK 99926-0439 |
| Practice Telephone | 9078864741 |
| Practice Fax Number | 9078866976 |
| Mailing Telephone | 9078864741 |
| Mailing Fax Number | 9078866976 |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2009-08-18 |
| Authorized Official Name | MRS. RACHAEL S ASKREN (SERVICE UNIT DIRECTOR) |
| Authorized Official Telephone | 9078866601 |
| Is Organization Subpart | Y |
| Parent Organization Name | METLAKATLA INDIAN COMMUNITY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172V00000X | Community Health Worker | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | MDG037 | 05 |
| Other Name | Type Code |
|---|---|
| ANNETTE ISLAND SERVICE UNIT - CHAP SERVICES | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609250745 | Metlakatla Indian Community | Ambulance | 4th & Auriel St., Metlakatla, AK 99926 | 2015-07-18 |
| 1497943898 | Metlakatla Indian Community | Community/Behavioral Health | 100 Upper Milton Ave, Metlakatla, AK 99926 | 2007-10-10 |
| 1740294081 | Metlakatla Indian Community | Ambulance | 563 Brendible Street, Metlakatla, AK 99926 | 2006-07-29 |
| 1023374337 | Metlakatla Indian Community | Technician, Other | 563 Brendible Street, Metlakatla, AK 99926 | 2012-04-11 |
| Street Address |
563 BRENDIBLE STREET |
| City | METLAKATLA |
| State | AK |
| Zip Code | 99926-0439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740294081 | Metlakatla Indian Community | Ambulance | 563 Brendible Street, Metlakatla, AK 99926 | 2006-07-29 |
| 1023374337 | Metlakatla Indian Community | Technician, Other | 563 Brendible Street, Metlakatla, AK 99926 | 2012-04-11 |
| 1619087129 | Joseph Biagio Dente | Family Medicine | 563 Brendible Street, Metlakatla, AK 99926-0439 | 2006-08-30 |
| 1801904974 | Deborah Kay Rosenfeld | Physical Therapist | 563 Brendible Street, Metlakatla, AK 99926 | 2006-08-28 |
| 1508878778 | Jerry Hudson Crosby | Family Medicine | 563 Brendible Street, Aisu, Metlakatla, AK 99926 | 2006-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609250745 | Metlakatla Indian Community | Ambulance | 4th & Auriel St., Metlakatla, AK 99926 | 2015-07-18 |
| 1497943898 | Metlakatla Indian Community | Community/Behavioral Health | 100 Upper Milton Ave, Metlakatla, AK 99926 | 2007-10-10 |
| 1922196468 | Jody J Leisholmn | Physician Assistant | 563 Brendible St., Metlakatla, AK 99926 | 2006-10-10 |
| 1992042790 | Eric Matthew Burke | Pharmacist | 563 Brendible St, Metlakatla, AK 99926 | 2013-01-14 |
| 1952668394 | Lillian Darcy Mcgilton | Technician, Other | 563 Brendible St, Metlakatla, AK 99926 | 2012-04-23 |
| 1225303878 | Alonzo Craig Leisholmn Sr. | Community Health Worker | 563 Brendible St, Metlakatla, AK 99926-0439 | 2012-03-15 |
| 1992017628 | Diana M Williams | Community Health Worker | 2017 Eagle Street, Metlakatla, AK 99926-0498 | 2010-07-10 |
| Taxonomy Code | 172V00000X |
| Grouping | Other Service Providers |
| Classification | Community Health Worker |
| Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC §1616 (l) under HHS, Indian Health Service, Public Health Service. |
| Notes: Source: Health Resources and Services Administration, US Department of Health and Human Services – National Workforce Study on Community Health Workers, March, 2007. [7/1/2007: new] http://bhpr.hrsa.gov/healthworkforce/chw/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225303878 | Alonzo Craig Leisholmn Sr. | Community Health Worker | 563 Brendible St, Metlakatla, AK 99926-0439 | 2012-03-15 |
| 1992017628 | Diana M Williams | Community Health Worker | 2017 Eagle Street, Metlakatla, AK 99926-0498 | 2010-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033731716 | Pius R Phillip | Community Health Worker | 101 Anderson Street Clinic Road, Alakanuk, AK 99554 | 2020-05-15 |
| 1609498484 | Renee Rose Kimaktoak | Community Health Worker | 1000 Greg Krushek Ave, Nome, AK 99762-0966 | 2020-05-14 |
| 1316566482 | Rosanna Marie Mcarthur | Community Health Worker | 100 School Road, Chignik Bay, AK 99564 | 2020-04-09 |
| 1487283966 | Dollie A Hawley | Community Health Worker | Bering Street, Kivalina, AK 99750 | 2020-04-06 |
| 1861020802 | Elena Maryann Evan | Community Health Worker | Bay Side View 146, Goodnews Bay, AK 99589-0146 | 2020-03-27 |
| 1245877711 | Frankie Christine Standifer | Community Health Worker | 101 Indian Creek Road 82068, Tyonek, AK 99682-0068 | 2019-12-04 |
| 1225670136 | Harriett G Henry | Community Health Worker | 62039 Daqumaaq Road, Golovin, AK 99762-2039 | 2019-10-11 |
| 1194370619 | Natalia Lizbeth Navarro | Community Health Worker | 2 Salmonberry Road, Nikolai, AK 99691 | 2019-08-02 |
| 1174177943 | Pauline Alexandria Egrass | Community Health Worker | 10 Dnr Rd, Mc Grath, AK 99627-0010 | 2019-07-30 |
| 1043872609 | Judith M Pelowook | Community Health Worker | 151 Airport Road, Savoonga, AK 99769-0151 | 2019-07-03 |
| Find all providers with the same taxonomy | ||||
| City | METLAKATLA |
| Zip Code | 99926 |
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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.