EASTERN ALEUTIAN TRIBES, INC. NPI 1821290925

Clinic/Center (Mental Health (Including Community Mental Health Center)) in Sand Point, AK

NPI 1821290925 Organization Clinic/Center Mental Health (Including Community Menta...

About EASTERN ALEUTIAN TRIBES, INC.

Eastern Aleutian Tribes, Inc. is a provider established in Sand Point, Alaska specializing in clinic/center (mental health (including community mental health center)) . The NPI number of Eastern Aleutian Tribes, Inc. is 1821290925 and was assigned on June 2007. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Mr. Michael Christensen (Executive Director)

NPI

1821290925

Provider NameEASTERN ALEUTIAN TRIBES, INC.
Provider Location Address527 MAIN ST. SAND POINT, AK 99661
Provider Mailing Address3380 C ST SUITE 100 ANCHORAGE, AK 99503
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date06-01-2007
Last Update Date04-27-2010


Primary Taxonomy

Taxonomy Code261QM0801X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationMental Health (Including Community Mental Health Center)
License StateAK

Business Address

EASTERN ALEUTIAN TRIBES, INC.
527 MAIN ST.
SAND POINT, AK
ZIP 99661
Phone: (907) 383-3151
Fax: (907) 383-5688

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Mailing Address

EASTERN ALEUTIAN TRIBES, INC.
3380 C ST
SUITE 100
ANCHORAGE, AK
ZIP 99503
Phone: (907) 277-1440
Fax: (907) 277-1446



Authorized Official

Authorized Official NameMR. MICHAEL CHRISTENSEN
Authorized Official TitleEXECUTIVE DIRECTOR
Authorized Official Phone(907) 277-1440

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
MH4238MEDICAID (05)AK

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1730381831EASTERN ALEUTIAN TRIBES, INC
Organization
Clinic/Center (Rehabilitation, Substance Use Disorder)527 MAIN ST.
SAND POINT, AK 99661
(907) 383-3151

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.