Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KODIAK ISLAND HEALTH CARE FOUNDATION
NPI 1326047044
Clinic/Center - Federally Qualified Health Center (FQHC) in Kodiak, AK

Q: What is Kodiak Island Health Care Foundation's NPI number?

The NPI number for Kodiak Island Health Care Foundation is 1326047044. It was assigned to this organization in the NPPES registry on July 14, 2005. The provider is doing business as Kodiak Community Health Center.

Q: What is Kodiak Island Health Care Foundation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since July 14, 2005CLIA 02D1020558 · Waiver

1911 E REZANOF DR., KODIAK, AK 99615(907) 481-5000(907) 481-5030 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kodiak Island Health Care Foundation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KODIAK ISLAND HEALTH CARE FOUNDATION (NPI 1326047044), doing business as Kodiak Community Health Center, is a healthcare organization registered as a federally qualified health center (fqhc) in Kodiak, Alaska and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through December 22, 2027 and lists Olivera Wilson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1326047044

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameKODIAK ISLAND HEALTH CARE FOUNDATION

Location Address1911 E REZANOF DR.Kodiak, AK 99615

Mailing Address1911 E Rezanof DrKodiak, AK 99615-6602 · (907) 481-5000 · Fax (907) 481-5030

Phone(907) 481-5000

Fax(907) 481-5030

Organization SubpartNo

Authorized OfficialOlivera WilsonCeo · (907) 481-5000

Enumeration DateJuly 14, 2005

Last NPPES UpdateJuly 14, 2026

NPPES CertifiedJuly 14, 2026

✔ NPI 1326047044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

License✔ Licensed in AK · 297211

Also ListedLegal MedicineTaxonomy 173000000X · License 297211 (AK)

1911 E REZANOF DR., Kodiak, AK 99615

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Other Names 1

Doing Business AsKodiak Community Health Center

Other Identifiers 1

MedicaidRH462FQAK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 02D1020558

Kodiak Community Health Center · Kodiak, AK

Active · expires Dec 22, 2027

CLIA Number02D1020558

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateDecember 23, 2025

Certificate Expiration DateDecember 22, 2027

Laboratory DirectorDr. Curtis Mortenson

Laboratory Phone(907) 481-5000

Laboratory LocationKodiak Community Health Center1911 East Rezanof Drive, Kodiak, AK 99615

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kodiak Island Health Care Foundation's NPI number?

The NPI number for Kodiak Island Health Care Foundation is 1326047044. It was assigned to this organization in the NPPES registry on July 14, 2005. The provider is doing business as Kodiak Community Health Center.

Where is Kodiak Island Health Care Foundation located?

Kodiak Island Health Care Foundation is located at 1911 E Rezanof Dr., Kodiak, AK 99615. The listed phone number is (907) 481-5000.

What is Kodiak Island Health Care Foundation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Kodiak Island Health Care Foundation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 02D1020558) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kodiak Island Health Care Foundation accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Kodiak Island Health Care Foundation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kodiak Island Health Care Foundation was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.