SAMUEL SIMMONDS MEMORIAL HOSPITAL (ARCTIC SLOPE NATIVE ASSOCIATION) NPI 1003179177

Clinic/Center (Critical Access Hospital) in Barrow, AK

NPI 1003179177 Organization Clinic/Center Critical Access Hospital

About SAMUEL SIMMONDS MEMORIAL HOSPITAL (ARCTIC SLOPE NATIVE ASSOCIATION)

Samuel Simmonds Memorial Hospital (arctic Slope Native Association) is a provider established in Barrow, Alaska specializing in clinic/center (critical access hospital) . The NPI number of Samuel Simmonds Memorial Hospital (arctic Slope Native Association) is 1003179177 and was assigned on June 2012. The practitioner's primary taxonomy code is 261QC0050X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's other name is Samuel Simmonds Memorial Hospital. The authorized official of this NPI record is Ms. Diane M Nosbisch (Patient Accounts Director)

NPI

1003179177

Provider NameSAMUEL SIMMONDS MEMORIAL HOSPITAL (ARCTIC SLOPE NATIVE ASSOCIATION)
Provider Location Address1296 AGVIK STREET BARROW, AK 99723
Provider Mailing AddressPO BOX 1232 BARROW, AK 99723
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameSAMUEL SIMMONDS MEMORIAL HOSPITAL
Other Name TypeOther Name (5)
Enumeration Date06-22-2012
Last Update Date06-22-2012


Primary Taxonomy

Taxonomy Code261QC0050X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationCritical Access Hospital
Taxonomy DescriptionAn outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified.

Business Address

SAMUEL SIMMONDS MEMORIAL HOSPITAL
1296 AGVIK STREET
BARROW, AK
ZIP 99723
Phone: (907) 852-4611
Fax: (907) 852-2105

Get Directions


Mailing Address

SAMUEL SIMMONDS MEMORIAL HOSPITAL
PO BOX 1232
BARROW, AK
ZIP 99723
Phone: (907) 852-2762
Fax: (907) 852-2105



Authorized Official

Authorized Official NameMS. DIANE M NOSBISCH
Authorized Official TitlePATIENT ACCOUNTS DIRECTOR
Authorized Official Phone(907) 852-9201

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
HS23OPMEDICAID (05)AK

Other Providers at the same location


The following 16 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1962626267MR. DAVID VENSKO
Individual
Registered Nurse1296 AGVIK STREET
BARROW, AK 99723
(907) 852-9257
1619198645 ROBIN SHEMANSKI RN
Individual
Registered Nurse1296 AGVIK STREET
BARROW, AK 99723
(907) 852-9303
1588877401 GANDY GUINEVERE BECKER
Individual
Registered Nurse1296 AGVIK STREET
BARROW, AK 99723
(907) 852-4611
1730397159MS. REBECCA ANDREW PA-C
Individual
Physician Assistant1296 AGVIK STREET
BARROW, AK 99723
(907) 852-5886
1538365291MRS. MELISSA BARR PA-C
Individual
Physician Assistant1296 AGVIK STREET
BARROW, AK 99723
(907) 852-9211
1326230756ASNA-SAMUEL SIMMONDS MEMORIAL HOSPITAL
Organization
General Acute Care Hospital (Critical Access)1296 AGVIK STREET
BARROW, AK 99723
(907) 852-9203
1578758744SAMUEL SIMMONDS MEMORIAL HOSPITAL
Organization
General Acute Care Hospital (Critical Access)1296 AGVIK STREET
BARROW, AK 99723
(907) 852-4611
1881859577SAMUEL SIMMONDS MEMORIAL HOSPITAL
Organization
General Acute Care Hospital (Rural)1296 AGVIK STREET
BARROW, AK 99723
(907) 852-4611
1073841797 KIMBERLY R SELF D.D.S.
Individual
Dentist1296 AGVIK STREET
BARROW, AK 99723
(907) 852-9221
1902147952DR. PALMER TOBIAS WETZEL III PHARMD
Individual
Pharmacist1296 AGVIK STREET
BARROW, AK 99723
(907) 852-9277
1770824716DR. TOLULOPE BALOGUN PHARM.D
Individual
Pharmacist1296 AGVIK STREET
BARROW, AK 99723
(907) 852-9267
1669714119DR. JOSEPH MICHAEL RODRIGUEZ PHARMD
Individual
Pharmacist1296 AGVIK STREET
BARROW, AK 99723
(907) 852-9277
1366888539 KAMA JOY BLASING RDH
Individual
Dental Hygienist1296 AGVIK STREET
BARROW, AK 99723
(907) 852-9221
1609298421 MICHAEL SMALLEY LPN
Individual
Licensed Practical Nurse1296 AGVIK STREET
BARROW, AK 99723
(907) 852-9203
1801899257ARCTIC SLOPE NATIVE ASSOCIATION
Organization
Pharmacy1296 AGVIK STREET
BARROW, AK 99723
(907) 852-9277
1225240310SAMUEL SIMMONDS MEMORIAL HOSPITAL
Organization
General Acute Care Hospital (Rural)1296 AGVIK STREET
BARROW, AK 99723
(907) 852-4611

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.