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KODIAK AREA NATIVE ASSOCIATION
NPI 1467801753
Clinic/Center - Rural Health in Kodiak, AK

Active since June 07, 2016CLIA 02D0641002 · Waiver
3449 E REZANOF DR, KODIAK, AK 99615(907) 486-9868(907) 486-9884 Get Directions Write a Review

NPPES record last updated: June 7, 2016. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Kodiak Area Native Association NPPES

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

KODIAK AREA NATIVE ASSOCIATION (NPI 1467801753) is a healthcare organization registered as a rural health in Kodiak, Alaska and active in the NPI registry since June 2016. The organization holds a CLIA Waiver certificate valid through November 1, 2028 and lists Tammy Hansen, Vp Of Health Services, as its authorized official.

NPPES Registry Identity

NPI1467801753
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameKODIAK AREA NATIVE ASSOCIATION
Location Address3449 E REZANOF DRKodiak, AK 99615-6952
Mailing Address3449 E Rezanof DrKodiak, AK 99615-6952 · (907) 486-9868 · Fax (907) 486-9884
Phone(907) 486-9868
Fax(907) 486-9884
Organization SubpartNo
Authorized OfficialTammy HansenVp Of Health Services · (907) 486-9874
Enumeration DateJune 7, 2016
✔ NPI 1467801753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License✔ Licensed in AK · 15-1364-I
3449 E REZANOF DR, Kodiak, AK 99615
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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 02D0641002

Kodiak Area Native Association Kana Main · Kodiak, AK
Active · expires Nov 1, 2028
CLIA Number02D0641002
Laboratory TypeCommunity Clinic
Certificate Effective DateNovember 2, 2026
Certificate Expiration DateNovember 1, 2028
Laboratory DirectorDr. Katie Gray
Laboratory Phone(907) 486-9868
Laboratory LocationKodiak Area Native Association Kana Main3449 E 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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KODIAK AREA NATIVE ASSOCIATION PHARMACY
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
3449 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 486-9860
JOANNE MARIE WARD CHA-P
Community Health Worker
3449 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 486-9800
MICHAEL HANDRICKS
Counselor
3449 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 486-9824
ALISON STARR PA-C
Physician Assistant
3449 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 486-9800
JORDAN BEARD
Counselor (Professional)
3449 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 942-0672
MARGARET KAVANAUGH
Case Manager/Care Coordinator
3449 E REZANOF DR, INFANT LEARNING PROGRAM
KODIAK, AK 99615
Kodiak Island Borough (907) 486-1374
IRENE RAE NELSON
Community Health Worker
3449 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 486-9800
PAIGE BUER PA-C
Physician Assistant
3449 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 486-9800

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 Area Native Association's NPI number?

The NPI number for Kodiak Area Native Association is 1467801753. It was assigned to this organization in the NPPES registry on June 7, 2016.

Where is Kodiak Area Native Association located?

Kodiak Area Native Association is located at 3449 E Rezanof Dr, Kodiak, AK 99615. The listed phone number is (907) 486-9868.

What is Kodiak Area Native Association's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Kodiak Area Native Association hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 02D0641002) is associated with this NPI, valid through November 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kodiak Area Native Association was last updated on June 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.