Individual provider Active NPI

Rufa Mylene Sibayan Famini

  • General Acute Care Hospital
  • Sitka, AK
National Provider Identifier
1124369277
Registry record updated Mar 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
NUA A 6756 Issued in AK
Practice address
215 Kimsham St
Sitka, AK 99835-7124
Phone
(907) 747-0626
NPI assigned
Mar 13, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X NUA A 6756 AK Primary

Addresses

Primary practice location

215 Kimsham St
Sitka, AK 99835-7124

Mailing address

215 Kimsham St
Sitka, AK 99835-7124
Phone (907) 747-0626

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
NUA A 6756AKMDGeneral Acute Care Hospital

NPI Registry JSON

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363132800000",
    "number": "1124369277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 KIMSHAM ST",
            "city": "SITKA",
            "state": "AK",
            "postal_code": "998357124",
            "telephone_number": "907-747-0626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 KIMSHAM ST",
            "city": "SITKA",
            "state": "AK",
            "postal_code": "998357124",
            "telephone_number": "907-747-0626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAMINI",
        "first_name": "RUFA MYLENE",
        "middle_name": "SIBAYAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-13",
        "last_updated": "2013-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AK",
            "license": "NUA A 6756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sitka, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; 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.