KANA (KODIAK AREA NATIVE ASSOCIATION) NPI 1679514236
Clinic/Center (Multi-Specialty) in Kodiak, AK
NPI Profile for KANA (KODIAK AREA NATIVE ASSOCIATION)
Kana (kodiak Area Native Association) is a provider established in Kodiak, Alaska specializing in clinic/center (multi-specialty) . The NPI number of Kana (kodiak Area Native Association) is 1679514236 and was assigned on June 2006. The practitioner's primary taxonomy code is 261QM1300X with license number 233103 (AK). The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's other name is Kana. The authorized official of this NPI record is Mr. Andrew Teuber Ii (President/ceo)
The CLIA number of Kana is 02D0640982 registered as a "community clinic" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued to Kana after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
| NPI | 1679514236 |
| Provider Name | KANA (KODIAK AREA NATIVE ASSOCIATION) |
| Provider Location Address | 3449 E REZANOF DR KODIAK, AK 99615 |
| Provider Mailing Address | 3449 E REZANOF DR KODIAK, AK 99615 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | No |
| Other Organization Name | KANA |
| Other Name Type | Other Name (5) |
| Enumeration Date | 06-08-2006 |
| Last Update Date | 03-25-2010 |
Primary Taxonomy
| Taxonomy Code | 261QM1300X |
| Classification | Clinic/Center |
| Type | Ambulatory Health Care Facilities |
| Specialization | Multi-Specialty |
| License No. | 233103 |
| License State | AK |
Business Address
KANA
3449 E REZANOF DR
KODIAK, AK
ZIP 99615
Phone: (907) 486-9800
Fax: (907) 486-9898
Mailing Address
KANA
3449 E REZANOF DR
KODIAK, AK
ZIP 99615
Phone: (907) 486-9800
Fax: (907) 486-9898
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1679514236 is:
| CLIA Number | 02D0640982 |
| Facility Type | COMMUNITY CLINIC |
| Certificate Type | Certificate of Compliance |
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
| No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
|---|---|---|---|---|---|---|---|
| 1 | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | Mental Health (Including Community Mental Health Center) | No | ||
Taxonomy Description: Not Available | |||||||
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 | Identifier Issuer |
|---|---|---|---|
| CL3225 | MEDICAID (05) | AK | |
| HSZ198 | MEDICARE ID-TYPE UNSPECIFIED (04) | AK | MEDICAL CLINIC |
NPI Validation Check Digit Calculation
The following table explains step by step the NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 7 | 9 | 5 | 1 | 4 | 2 | 3 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 14 | 9 | 10 | 1 | 8 | 2 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 4 + 9 + 1 + 0 + 1 + 8 + 2 + 6 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1679514236 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the same location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1205883907 | KODIAK AREA NATIVE ASSOCIATION Organization | Clinic/Center (Dental) | 3449 E REZANOF DR KODIAK, AK 99615 (907) 486-9800 |
| 1912091935 | CHARLES W PHILLIPS DD Individual | Dentist (General Practice) | 3449 E REZANOF DR KODIAK, AK 99615 (907) 486-9800 |
| 1003973041 | KODIAK AREA NATIVE ASSOCIATION PHARMACY Organization | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 3449 E REZANOF DR KODIAK, AK 99615 (907) 486-9860 |
| 1639220288 | AMELIA LOPEZ Individual | Preventive Medicine (Public Health & General Preventive Medicine) | 3449 E REZANOF DR KODIAK, AK 99615 (907) 486-3479 |
| 1518094481 | AMANDA VIVIAN SANFORD Individual | Case Manager/Care Coordinator | 3449 E REZANOF DR KODIAK, AK 99615 (907) 486-1367 |
| 1518094416 | NANCY JEAN WELLS Individual | Case Manager/Care Coordinator | 3449 E REZANOF DR KODIAK, AK 99615 (907) 486-1366 |
| 1770617466 | DR. BRIAN M NAROG PHARM.D. Individual | Pharmacist | 3449 E REZANOF DR KODIAK, AK 99615 (907) 486-9860 |
| 1669695466 | STEVE SMITH HYGIENIST Individual | Dental Hygienist | 3449 E REZANOF DR KODIAK, AK 99615 (907) 486-9820 |
| 1063634491 | MICHAEL HANDRICKS Individual | Counselor | 3449 E REZANOF DR KODIAK, AK 99615 (907) 486-9824 |
| 1801091749 | MRS. LAURA JANELLE MCDERMOTT LMFT Individual | Marriage & Family Therapist | 3449 E REZANOF DR BEHAVIORAL HEALTH KODIAK, AK 99615 (860) 550-1713 |
| 1295914877 | MRS. SHANA J JONES RN Individual | General Practice | 3449 E REZANOF DR KODIAK, AK 99615 (907) 486-9800 |
| 1477732980 | NADIYA JAMES RN Individual | General Practice | 3449 E REZANOF DR KODIAK, AK 99615 (907) 486-9800 |
| 1598946923 | CHERIE COWAN DO Individual | Dental Hygienist | 3449 E REZANOF DR KODIAK, AK 99615 (907) 486-9850 |
| 1740464437 | HEATHER PARKER DO Individual | Dental Hygienist | 3449 E REZANOF DR KODIAK, AK 99615 (907) 486-9850 |
| 1508034075 | AMIE K ARNOLD CDC I, BHA Individual | Counselor (Addiction (Substance Use Disorder)) | 3449 E REZANOF DR KODIAK, AK 99615 (907) 486-9800 |
| 1467611699 | GEORGIA J BLAIN Individual | General Practice | 3449 E REZANOF DR KODIAK, AK 99615 (907) 486-9870 |
| 1215196423 | DIANE C WOLKOFF Individual | General Practice | 3449 E REZANOF DR KODIAK, AK 99615 (907) 486-9870 |
| 1669631891 | JUDITH K SPOERER Individual | General Practice | 3449 E REZANOF DR KODIAK, AK 99615 (907) 486-9870 |
| 1275792913 | MARSHA R MADRIAGA Individual | Phlebology | 3449 E REZANOF DR KODIAK, AK 99615 (907) 486-9870 |
| 1760643621 | JENNIFER R MOE Individual | General Practice | 3449 E REZANOF DR KODIAK, AK 99615 (907) 486-9870 |
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
Kana is registered as an entity type code: 2. The entity type code describes 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.