Loretta Pauline Garfield, CHP

Individual provider Active NPI Community Health Worker · Kobuk, AK

NPI 1104193689 · NPPES record last updated Nov 28, 2011

Key facts

NPI
1104193689
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
License
08-975-P (AK)
Practice address
51003 Main Street
Kobuk, AK 99751-0003
Phone
(907) 948-2218
Fax
(907) 948-2199
NPI assigned
Nov 28, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
08-975-PAKMDCommunity Health Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Maniilaq Association Past
since Feb 27, 2022
Accepting new patients
Maniilaq Association Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X 08-975-P AK Yes

Addresses

Primary practice location

51003 Main Street
Kobuk, AK 99751-0003

Mailing address

51003 Main Street
Box 3
Kobuk, AK 99751-0003
Phone (907) 948-2218

Other providers in Kobuk, AK

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

Sources for this page

Verify at the official NPI Registry.