TRIBAL- NONDALTON CLINIC
NPI 1740659192
Clinic/Center - Community Health in Nondalton, AK

NPI Status: Active since September 16, 2015

Contact Information

69 MAIN STREET
NONDALTON, AK
ZIP 99640
Phone: (907) 294-2238

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  • Organization
  • Clinic/Center
  • Community Health
  • Accepts Insurance

About TRIBAL- NONDALTON CLINIC

This page provides the complete NPI Profile along with additional information for Tribal- Nondalton Clinic, a primary care provider established in Nondalton, Alaska operating as a Clinic/center, focusing in community health . The healthcare provider is registered in the NPI registry with number 1740659192 assigned on September 2015. The practitioner's primary taxonomy code is 261QC1500X with license number 20467 (AK). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Tribal- Nondalton Clinic. The authorized official of this NPI record is Ronald Lee Olson (Executive Vice President Finance)

NPI
1740659192
Provider Legal Name
SOUTHCENTRAL FOUNDATION
Other Organization Name
TRIBAL- NONDALTON CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
69 MAIN STREET NONDALTON, AK 99640
Location Phone
(907) 294-2238
Mailing Address
PO BOX 35198 SEATTLE, WA 98124
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-16-2015
Last Update Date
09-14-2023
Code Navigator

A primary care provider (PCP) like Tribal- Nondalton Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Community Health

Taxonomy Code
261QC1500X
Type
Ambulatory Health Care Facilities
License No.
20467
License State
AK

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RONALD LEE OLSON

Authorized Official Title
EXECUTIVE VICE PRESIDENT FINANCE
Authorized Official Phone
(907) 729-4939

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1637739MEDICAID (05)AK 

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NPI Validation Check Digit Calculation


The following table explains the step by step 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.
1740659192
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
278012518118
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 8 + 0 + 1 + 2 + 5 + 1 + 8 + 1 + 1 + 8 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1740659192 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

GLORIA M TREFON

Community Health Worker

69 MAIN STREET
NONDALTON, AK
ZIP 99640

(907) 294-2238

SOUTHCENTRAL FOUNDATION

Dentist

(General Practice)

69 MAIN STREET
NONDALTON, AK
ZIP 99640

(907) 294-2238

SOUTHCENTRAL FOUNDATION

Community/Behavioral Health

69 MAIN STREET
NONDALTON, AK
ZIP 99640

(907) 294-2238

KARINA A JEFFRIES CHA II

Community Health Worker

69 MAIN STREET
NONDALTON, AK
ZIP 99640

(907) 729-6709

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740659192, enumerated as an "organization" on September 16, 2015.

The provider is located at 69 MAIN STREET NONDALTON, AK 99640 and the phone number is (907) 294-2238.

Clinic/Center with taxonomy code 261QC1500X and a focus in Community Health.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska, Medicare. Please consult your insurance carrier or call the provider to verify.