Donald Max Pleasant, CHA-T

Individual provider Active NPI Community Health Worker · Unalakleet, AK

NPI 1104449636 · NPPES record last updated May 19, 2020

Key facts

NPI
1104449636
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
Airport Road
Unalakleet, AK 99684-0000
Phone
(907) 624-3535
Fax
(907) 624-3692
NPI assigned
May 19, 2020
Sex
Male
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X AK Yes

Addresses

Primary practice location

Airport Road
Unalakleet, AK 99684-0000

Mailing address

PO Box 966
Nome, AK 99762-0966
Phone (907) 624-3535

Other identifiers

IdentifierTypeStateIssuer
CHA-TOtherAKCHA-T

Electronic endpoints

TypeEndpointUseAffiliation
Other URL Nome Other

Other providers in Unalakleet, AK

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

Sources for this page

Verify at the official NPI Registry.