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

Active since July 14, 2005
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: November 01, 2026.

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 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
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

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kodiak Island Health Care Foundation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

18

Medicare enrollment records show 18 clinicians reassign Medicare billing to Kodiak Island Health Care Foundation, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Family Practice12
Nurse Practitioner3
Clinical Social Worker1
Internal Medicine1
Registered Dietitian or Nutrition Professional1

Clinicians, nearest first (18)

Family Practice
NPI 1508448051
1911 E REZANOF DR
Kodiak, AK 99615
(907) 481-5000
✔ PECOSSame address
Family Practice
NPI 1457462335
1915 E REZANOF DR
Kodiak, AK 99615
(907) 486-3281
✔ PECOSSame address
Registered Dietitian or Nutrition Professional
NPI 1932733268
1911 E REZANOF DR
Kodiak, AK 99615
(907) 481-5000
0.1 mi
Nurse Practitioner
NPI 1447607452
1911 E REZANOF DR
Kodiak, AK 99615
(907) 481-5000
✔ PECOS0.1 mi
Family Practice
NPI 1831162825
1911 E REZANOF DR
Kodiak, AK 99615
(907) 481-5000
✔ PECOS0.1 mi
Family Practice
NPI 1265405906
1911 E REZANOF DR
Kodiak, AK 99615
(907) 481-5000
✔ PECOS0.1 mi
Internal Medicine
NPI 1225004401
1818 E REZANOF DR
Kodiak, AK 99615
(907) 486-6065
✔ PECOS0.1 mi
Family Practice
NPI 1659635225
3449 E REZANOF DR
Kodiak, AK 99615
(907) 486-9800
✔ PECOS1.1 mi
Family Practice
NPI 1669556858
4300 B ST SUITE 200
Anchorage, AK 99503
(907) 375-3355
✔ PECOS✔ Accepts Medicare250 mi
Family Practice
NPI 1881335123
1201 E 36TH AVE
Anchorage, AK 99508
(907) 562-9229
✔ PECOS251 mi
Family Practice
NPI 1508949439
1201 E 36TH AVE
Anchorage, AK 99508
(907) 562-9229
✔ PECOS✔ Accepts Medicare251 mi
Family Practice
NPI 1861712622
1201 E 36TH AVE
Anchorage, AK 99508
(907) 562-2992
✔ PECOS251 mi
Family Practice
NPI 1710335740
1201 E 36TH AVE
Anchorage, AK 99508
(907) 562-9229
✔ PECOS✔ Accepts Medicare251 mi
Family Practice
NPI 1811303613
1201 E 36TH AVE
Anchorage, AK 99508
(907) 562-9229
✔ PECOS251 mi
Nurse Practitioner
NPI 1982601498
PO BOX 1908
Bethel, AK 99559
(907) 543-3773
✔ PECOS391 mi
Family Practice
NPI 1992053011
515 MINOR AVE STE 170
Seattle, WA 98104
(206) 320-7288
✔ PECOS✔ Accepts Medicare1,429 mi
Clinical Social Worker
NPI 1952789653
101 WEST COAST RD
Redway, CA 95560
(707) 923-2783
✔ PECOS1,759 mi
Nurse Practitioner
NPI 1992128383
1695 MAIN STREET SUITE 400
Springfield, MA 01103
(413) 739-5572
✔ PECOS3,492 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Kodiak Island Health Care Foundation enrolled in Medicare?

Yes. Kodiak Island Health Care Foundation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kodiak Island Health Care Foundation?

According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 5 Medicare specialties reassign their Medicare billing to Kodiak Island Health Care Foundation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (12), Nurse Practitioner (3) and Clinical Social Worker (1). Of these, 2 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kodiak Island Health Care Foundation accept?

Health plans from Moda Health Plan, Inc. and 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 3 months 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.