NPIMap

Organization Active NPI

Aleutian Pribilof Islands Association Inc

  • Community Health Clinic/Center
  • Atka, AK
National Provider Identifier
1093939233
Registry record updated Sep 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
ALEUTIAN PRIBILOF ISLANDS ASSOCIATION INC
Practice address
900 A Health Lane
Atka Clinic
Atka, AK 99547
Phone
(907) 839-2232
Fax
(907) 839-2239
NPI assigned
Apr 12, 2007
Last updated
Sep 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2010

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

Authorized official

Name
Mr. Dimitri Philemonof
Title
President/Ceo
Phone
(907) 276-2700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary
Community Health Worker 172V00000X

Addresses

Primary practice location

900 A Health Lane
Atka Clinic
Atka, AK 99547

Mailing address

1131 E International Airport Rd
Anchorage, AK 99518-1408
Phone (907) 276-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140225001523 TX Part B Supplier - Clinic/Group Practice 0648310656 Receives reassigned benefits from 34 practitioners
5 other NPIs on this enrollment
Practice locations: Anchorage, AK; Atka, AK; Nikolski, AK; St George Island, AK; Unalaska, AK

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 36

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.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284076800000",
    "number": "1093939233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 E INTERNATIONAL AIRPORT RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995181408",
            "telephone_number": "907-276-2700",
            "fax_number": "907-222-4279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 A HEALTH LANE",
            "address_2": "ATKA CLINIC",
            "city": "ATKA",
            "state": "AK",
            "postal_code": "99547",
            "telephone_number": "907-839-2232",
            "fax_number": "907-839-2239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEUTIAN PRIBILOF ISLANDS ASSOCIATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2010-09-10",
        "status": "A",
        "authorized_official_last_name": "PHILEMONOF",
        "authorized_official_first_name": "DIMITRI",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "907-276-2700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atka, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.