Alaska Faith Ministries LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

1037992 Issued in AK

Legal business name

ALASKA FAITH MINISTRIES LLC

Doing business as

North Country Clinic

Practice address

53 Mile Tok Cutoff
Gakona, AK 99586-9702

Phone

(907) 822-3937

Fax

(907) 822-3937

NPI assigned

May 21, 2012

Last updated

Mar 29, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Steven Gallagher

Title

Ceo

Phone

(907) 822-5686

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• North Country Clinic Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrew Peter Cap, MD, PHD

  • Internal Medicine Physician
  • Glennallen, AK
  • NPI 1467553495
  NPD (past)
• Melodye Lynn Gilbert, P.A.

  • Physician Assistant
  • Glennallen, AK
  • NPI 1033282728
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1003176348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5",
            "city": "GLENNALLEN",
            "state": "AK",
            "postal_code": "995880589",
            "telephone_number": "907-822-3203",
            "fax_number": "907-822-5805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 MILE TOK CUTOFF",
            "city": "GAKONA",
            "state": "AK",
            "postal_code": "995869702",
            "telephone_number": "907-822-3937",
            "fax_number": "907-822-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALASKA FAITH MINISTRIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-21",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "GALLAGHER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "907-822-5686"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AK",
            "license": "1037992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1666871",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Country Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "North Country Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marilynn Beeter
• Jo Dempsey, L. AC.
• Diane L Duntze, ANP
• Anne Ronat Maxim
• Mt Sanford Tribal Consortium

• Clinic/Center in Gakona, AK
• Providers in Gakona, AK by specialty
• Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.