Knik Tribe

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

KNIK TRIBE

Practice address

780 S Snodgrass Dr
Palmer, AK 99645-9149

Phone

(907) 373-7991

NPI assigned

Sep 18, 2020

Organization subpart

Yes

Parent organization

KNIK TRIBEAs reported in NPPES

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

Authorized official

Name

Gillian Wright

Title

Billing Manager

Phone

(907) 671-6871

Specialties & licenses 2

Addresses

Other names 1

• Benteh Wellness Center Doing business as

Tax ID family

Knik Tribe2 organizations share this tax ID, including this one

Part of

Knik Tribe

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Knik Tribe

  • In Home Supportive Care Agency
  • Palmer, AK
  • NPI 1609680842
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Knik Tribe

  • In Home Supportive Care Agency
  • Palmer, AK
  • NPI 1609680842
  NPPES parent name

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

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637625600000",
    "number": "1033725684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 E MOUNTAIN VILLAGE DRIVE",
            "address_2": "STE B PMB 797",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "99654",
            "telephone_number": "907-671-6871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 S SNODGRASS DR",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996459149",
            "telephone_number": "907-373-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNIK TRIBE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KNIK TRIBE",
        "enumeration_date": "2020-09-18",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "GILLIAN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "907-671-6871"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Benteh Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Benteh Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melody Kirchner
• Joan Kirk, ND
• Knight Counseling and Consultation, LLC
• Deneille Knight
• Knik Physical Therapy PLLC
• Knik Tribe
• Marly Kay Borovich Knutson, LCSW
• Tak Ming Ko, MD
• Ernest Koehrer, M.D.
• Kristine Virginia Koliadko, FNP-BC

• Community/Behavioral Health Agency in Palmer, AK
• Providers in Palmer, AK by specialty
• Community/Behavioral Health Agency in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.