Herman Geffe

Individual provider Active NPI Community Health Worker · Dillingham, AK

NPI 1043578032 · NPPES record last updated Apr 26, 2012

Key facts

NPI
1043578032
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
License
99-216-IV (AK)
Practice address
6000 Kanakanak Rd
Dillingham, AK 99576
Phone
(907) 842-9217
Fax
(907) 842-9250
NPI assigned
Apr 26, 2012
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
99-216-IVAKMDCommunity Health Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X 99-216-IV AK Yes

Addresses

Primary practice location

6000 Kanakanak Rd
Dillingham, AK 99576

Mailing address

6000 Kanakanak Rd
Dillingham, AK 99576
Phone (907) 842-9217

Other providers in Dillingham, AK

All providers in Dillingham, AK · Community Health Worker in Alaska

Sources for this page

Verify at the official NPI Registry.