ILIULIUK FAMILY &HEALTH SERVICES, INC. NPI 1033511431

Clinic/Center (Health Service) in Unalaska, AK

NPI 1033511431 Organization Clinic/Center Health Service CLIA Number 02D0641835 CLIA Certificate of Compliance

About ILIULIUK FAMILY &HEALTH SERVICES, INC.

Iliuliuk Family &health Services, Inc. is a provider established in Unalaska, Alaska specializing in clinic/center (health service) . The NPI number of Iliuliuk Family &health Services, Inc. is 1033511431 and was assigned on September 2014. The practitioner's primary taxonomy code is 261QH0100X with license number 1019 (AK). The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Mrs. Eileen Scott (Executive Director)

The CLIA number of Iliuliuk Family &health Services, Inc. is 02D0641835 registered as a "federally qualified health center" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued to Iliuliuk Family &health Services, Inc. after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

NPI

1033511431

Provider NameILIULIUK FAMILY &HEALTH SERVICES, INC.
Provider Location Address34 LAVELLE CT. ILIULIUK FAMILY AND HEALTH SERVICES, INC UNALASKA, AK 99685
Provider Mailing AddressPO BOX 454 UNALASKA, AK 99685
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date09-17-2014
Last Update Date09-17-2014


Primary Taxonomy

Taxonomy Code261QH0100X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationHealth Service
License No.1019
License StateAK

Business Address

ILIULIUK FAMILY &HEALTH SERVICES, INC.
34 LAVELLE CT.
ILIULIUK FAMILY AND HEALTH SERVICES, INC
UNALASKA, AK
ZIP 99685
Phone: (907) 581-1202

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Mailing Address

ILIULIUK FAMILY &HEALTH SERVICES, INC.
PO BOX 454
UNALASKA, AK
ZIP 99685
Phone: (907) 581-1202



Authorized Official

Authorized Official NameMRS. EILEEN SCOTT
Authorized Official TitleEXECUTIVE DIRECTOR
Authorized Official Phone(907) 581-1202

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1033511431 is:

CLIA Number02D0641835
Facility TypeFEDERALLY QUALIFIED HEALTH CENTER
Certificate TypeCertificate of Compliance

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1720201619 JUDITH RUDER
Individual
Social Worker (Clinical)34 LAVELLE CT.
UNALASKA, AK 99685
(907) 581-1202
1043617913MRS. MORWENNA THERESA UNGER PAC
Individual
Physician Assistant34 LAVELLE CT. ILIULIUK FAMILY & HEALTH SERVICES, INC (BOX 144)
UNALASKA, AK 99685
(907) 581-1202
1700268786 MARIA GREEN KALLMAN PA
Individual
Physician Assistant (Medical)34 LAVELLE CT.
UNALASKA, AK 99685
(907) 581-1202

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.