NORTHWAY FAMILY HEALTHCARE
NPI 1386398881
Clinic/Center in Ketchikan, AK

Active since February 04, 2022CLIA 02D2087528 · Waiver
130 CARLANNA LAKE RD STE 201, KETCHIKAN, AK 99901(907) 225-4325(907) 225-4326 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Northway Family Healthcare NPPES

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

NORTHWAY FAMILY HEALTHCARE (NPI 1386398881) is a healthcare organization registered as a clinic/center in Ketchikan, Alaska and active in the NPI registry since February 2022. The organization holds a CLIA Waiver certificate valid through November 24, 2026 and lists Maureen Maka Northway, Owner, as its authorized official.

NPPES Registry Identity

NPI1386398881
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameNORTHWAY FAMILY HEALTHCARE
Location Address130 CARLANNA LAKE RD STE 201Ketchikan, AK 99901-5669
Mailing Address130 Carlanna Lake Rd Ste 201Ketchikan, AK 99901-5669 · (907) 225-4325 · Fax (907) 225-4326
Fax(907) 225-4326
Organization SubpartNo
Authorized OfficialMaureen Maka NorthwayOwner · (907) 225-4325
Enumeration DateFebruary 4, 2022
NPPES CertifiedFebruary 4, 2022
✔ NPI 1386398881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A 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).
130 CARLANNA LAKE RD STE 201, Ketchikan, AK 99901

Other Identifiers 1

Medicaid1573464AK

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 02D2087528

Northway Family Healthcare · Ketchikan, AK
Active · expires Nov 24, 2026
CLIA Number02D2087528
Laboratory TypePhysician Office
Certificate Effective DateNovember 25, 2024
Certificate Expiration DateNovember 24, 2026
Laboratory DirectorMs. Maureen M. Northway
Laboratory Phone(907) 225-4325
Laboratory LocationNorthway Family Healthcare5534 North Tongass Highway, Ketchikan, AK 99901
CLIA data matches this NPI record on: 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 Northway Family Healthcare's NPI number?

The NPI number for Northway Family Healthcare is 1386398881. It was assigned to this organization in the NPPES registry on February 4, 2022.

Where is Northway Family Healthcare located?

Northway Family Healthcare is located at 130 Carlanna Lake Rd Ste 201, Ketchikan, AK 99901. The listed phone number is (907) 225-4325.

What is Northway Family Healthcare's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Northway Family Healthcare hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 02D2087528) is associated with this NPI, valid through November 24, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Northway Family Healthcare was last updated on February 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.