NATIVE VILLAGE OF TYONEK NPI 1689925463
Clinic/Center in Tyonek, AK
About NATIVE VILLAGE OF TYONEK
Native Village Of Tyonek is a provider established in Tyonek, Alaska specializing in clinic/center. The NPI number of Native Village Of Tyonek is 1689925463 and was assigned on September 2012. The practitioner's primary taxonomy code is 261Q00000X with license number 261Q00000X (AK). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Mr. David Matthew Rogers (Tribal Administrator)
Primary Taxonomy
| Taxonomy Code | 261Q00000X |
| Classification | Clinic/Center |
| Type | Ambulatory Health Care Facilities |
| License No. | 261Q00000X |
| License State | AK |
| Taxonomy Description | 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). |
Business Address
NATIVE VILLAGE OF TYONEK
73 C STREET
TYONEK, AK
ZIP 99682
Phone: (907) 583-2461
Fax: (907) 583-2155
Mailing Address
NATIVE VILLAGE OF TYONEK
PO BOX 82009
TYONEK, AK
ZIP 99682
Phone: (907) 583-2461
Fax: (907) 583-2155
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.