MARY ANN A KEITH CHA III NPI 1053683664

Community Health Worker in Elim, AK

NPI 1053683664 Individual Female Community Health Worker

About MARY ANN KEITH

Mary Ann Keith is a provider established in Elim, Alaska and her medical specialization is community health worker. The NPI number of Mary Ann Keith is 1053683664 and was assigned on January 2012. The practitioner's primary taxonomy code is 172V00000X with license number 12-1168-III (AK). The provider is registered as an individual and her NPI record was last updated 10 years ago.

Mary Ann Keith is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1053683664

Provider Name MARY ANN A KEITH CHA III
Provider Location Address69 MOSES POINT ROAD ELIM, AK 99739
Provider Mailing Address69 MOSES POINT ROAD ELIM, AK 99739
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date01-30-2012
Last Update Date01-30-2012


Primary Taxonomy

Taxonomy Code172V00000X
ClassificationCommunity Health Worker
TypeOther Service Providers
License No.12-1168-III
License StateAK
Taxonomy DescriptionCommunity 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.

Business Address

MARY ANN A KEITH CHA III
69 MOSES POINT ROAD
ELIM, AK
ZIP 99739
Phone: (907) 890-3311
Fax: (907) 890-2280

Get Directions


Mailing Address

MARY ANN A KEITH CHA III
69 MOSES POINT ROAD
ELIM, AK
ZIP 99739
Phone: (907) 890-3311
Fax: (907) 890-2280



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
12-1168-IIIOTHER (01)AK

Other Providers at the same location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1720347404 SONJA A SIMPSON CHA III
Individual
Community Health Worker69 MOSES POINT ROAD
ELIM, AK 99739
(907) 890-3311
1568849834 BEVERLY NAKARAK CHA-I
Individual
Community Health Worker69 MOSES POINT ROAD
ELIM, AK 99739
(907) 890-3311
1982084091 RONALD DANIELS CHA
Individual
Community Health Worker69 MOSES POINT ROAD
ELIM, AK 99739
(907) 890-3311
1477915817 ALICE AMAKTOOLIK
Individual
Community Health Worker69 MOSES POINT ROAD
ELIM, AK 99739
(907) 890-3311
1972037240 CHERYL NAGARUK CHA-T
Individual
Community Health Worker69 MOSES POINT ROAD
ELIM, AK 99739
(907) 890-3311
1740871557NORTON SOUND HEALTH CORPORATION
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))69 MOSES POINT ROAD
ELIM, AK 99739
(907) 443-3311

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.