EASTERN ALEUTIAN TRIBES, INC NPI 1346662608

Clinic/Center in Sand Point, AK

NPI 1346662608 Organization Clinic/Center

About EASTERN ALEUTIAN TRIBES, INC

Eastern Aleutian Tribes, Inc is a provider established in Sand Point, Alaska specializing in clinic/center. The NPI number of Eastern Aleutian Tribes, Inc is 1346662608 and was assigned on January 2014. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Jennifer Harrison (Executive Director)

NPI

1346662608

Provider NameEASTERN ALEUTIAN TRIBES, INC
Provider Location Address172 MAIN STREET SAND POINT, AK 99661
Provider Mailing Address3380 C ST SUITE 100 ANCHORAGE, AK 99503
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date01-06-2014
Last Update Date07-01-2015


Primary Taxonomy

Taxonomy Code261Q00000X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
License StateAK
Taxonomy DescriptionA facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Business Address

EASTERN ALEUTIAN TRIBES, INC
172 MAIN STREET
SAND POINT, AK
ZIP 99661
Phone: (907) 383-3515
Fax: (907) 277-1436

Get Directions


Mailing Address

EASTERN ALEUTIAN TRIBES, INC
3380 C ST
SUITE 100
ANCHORAGE, AK
ZIP 99503
Phone: (907) 277-1440
Fax: (907) 277-1436



Authorized Official

Authorized Official Name JENNIFER HARRISON
Authorized Official TitleEXECUTIVE DIRECTOR
Authorized Official Phone(907) 564-2512

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
K0000WCPFTMEDICARE PIN (08)AK

Other Providers at the same location


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

NPI Name / Type Taxonomy Address
1104083419 LOU J KUCHENOFF CHA-III
Individual
Community Health Worker172 MAIN STREET
SAND POINT, AK 99661
(907) 383-3151
1114269982 CHELSEA A SHOEMAKER DHAT
Individual
Dental Therapist172 MAIN STREET
SAND POINT, AK 99661
(907) 564-2512
1881847556MS. SUSAN LESLIE DAVIS CHP
Individual
Community Health Worker172 MAIN STREET
SAND POINT, AK 99661
(907) 383-3151

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.