IDA SHANNON CHARLIE
NPI 1023222783
Community Health Worker in Bethel, AK

NPI Status: Active since May 10, 2007

Contact Information

829 CHIEF EDDIE HOFFMAN HWY
SUITE 150
BETHEL, AK
ZIP 99559
Phone: (907) 543-6100
Fax: (907) 543-6159

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  • Individual
  • Female
  • Community Health Worker

About IDA CHARLIE

This page provides the complete NPI Profile along with additional information for Ida Charlie, a provider established in Bethel, Alaska with a medical specialization in Community Health Worker. The healthcare provider is registered in the NPI registry with number 1023222783 assigned on May 2007. The practitioner's primary taxonomy code is 172V00000X. The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1023222783
Provider Name
IDA SHANNON CHARLIE
Gender
Female
Entity Type
Individual
Location Address
829 CHIEF EDDIE HOFFMAN HWY SUITE 150 BETHEL, AK 99559
Location Phone
(907) 543-6100
Location Fax
(907) 543-6159
Mailing Address
P.O. BOX 528 ATTN: BH VILLAGE SERVICES BETHEL, AK 99559
Mailing Phone
(907) 543-6100
Mailing Fax
(907) 543-6159
Is Sole Proprietor?
No
Enumeration Date
05-10-2007
Last Update Date
07-21-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Health Worker

Taxonomy Code
172V00000X
Type
Other Service Providers
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1020986MEDICAID (05)AK 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1023222783
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2043424716
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 4 + 3 + 4 + 2 + 4 + 7 + 1 + 6 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1023222783 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

MR. PETER ROBERT HERGENROETHER MA

Counselor

(Professional)

829 CHIEF EDDIE HOFFMAN HWY
BETHEL, AK
ZIP 99559

(907) 545-0576

ALAN LOUIS CIROCCO LICSW

Social Worker

(Clinical)

829 CHIEF EDDIE HOFFMAN HWY
BETHEL, AK
ZIP 99559

(907) 543-6100

RONALD CARL BERQUIST DDS

Dentist

(General Practice)

829 CHIEF EDDIE HOFFMAN HWY
BETHEL, AK
ZIP 99559

(907) 543-6229

VALENCIA LATARAH GANTT-BANKS

Counselor

(Mental Health)

829 CHIEF EDDIE HOFFMAN HWY
BETHEL, AK
ZIP 99559

(907) 543-6100

DR. DONALD JAMES CALVERT DDS

Dentist

829 CHIEF EDDIE HOFFMAN HWY
BETHEL, AK
ZIP 99559

(907) 543-6229

YUKON KUSKOKWIM HEALTH CORP

Dentist

(Endodontics)

829 CHIEF EDDIE HOFFMAN HWY
SUITE 340
BETHEL, AK
ZIP 99559

(907) 543-6000

YUKON KUSKOKWIM HEALTH CORP

Dentist

(General Practice)

829 CHIEF EDDIE HOFFMAN HWY
STE 340
BETHEL, AK
ZIP 99559

(907) 543-6000

YUKON KUSKOKWIM HEALTH CORP

Chronic Disease Hospital

829 CHIEF EDDIE HOFFMAN HWY
SUITE 528
BETHEL, AK
ZIP 99559

(907) 543-6000

YUKON KUSKOKWIM HEALTH CORPORATION

Specialist

829 CHIEF EDDIE HOFFMAN HWY
SUITE 340
BETHEL, AK
ZIP 99559

(907) 543-6000

MARGARET HARPAK

Counselor

829 CHIEF EDDIE HOFFMAN HWY
BETHEL, AK
ZIP 99559

(907) 543-6100

JULIA BRAGG

Social Worker

(Clinical)

829 CHIEF EDDIE HOFFMAN HWY
BETHEL, AK
ZIP 99559

(907) 543-6100

JACQUELINE JOHNSON

Social Worker

(Clinical)

829 CHIEF EDDIE HOFFMAN HWY
BETHEL, AK
ZIP 99559

(907) 543-6100

RYAN WHEELER LCSW

Social Worker

(Clinical)

829 CHIEF EDDIE HOFFMAN HWY
BETHEL, AK
ZIP 99559

(907) 543-6100

LORI HARRIS

Social Worker

(Clinical)

829 CHIEF EDDIE HOFFMAN HWY
BETHEL, AK
ZIP 99559

(907) 543-6187

MARILYN YVONNE MACK

Counselor

(Mental Health)

829 CHIEF EDDIE HOFFMAN HWY
BETHEL, AK
ZIP 99559

(907) 543-6800

ADRIENNE GREGORY

Counselor

(Mental Health)

829 CHIEF EDDIE HOFFMAN HWY
BETHEL, AK
ZIP 99559

(907) 543-6100

ALDINE ANARUK

Counselor

(Addiction (Substance Use Disorder))

829 CHIEF EDDIE HOFFMAN HWY
BETHEL, AK
ZIP 99559

(907) 543-6187

MARVIN KIOKUN

Counselor

(Addiction (Substance Use Disorder))

829 CHIEF EDDIE HOFFMAN HWY
BETHEL, AK
ZIP 99559

(907) 543-6187

NELLIE R HUSA

Counselor

829 CHIEF EDDIE HOFFMAN HWY
BETHEL, AK
ZIP 99559

(907) 543-6100

NANCY KATHRYN REED PA-C

Physician Assistant

829 CHIEF EDDIE HOFFMAN HWY
BETHEL, AK
ZIP 99559

(907) 543-6188

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023222783, enumerated as an "individual" on May 10, 2007.

The provider is located at 829 CHIEF EDDIE HOFFMAN HWY SUITE 150 BETHEL, AK 99559 and the phone number is (907) 543-6100.

Community Health Worker with taxonomy code 172V00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.