Sean Conway

Individual provider Active NPI Community Health Worker · Homer, AK

NPI 1124976261 · NPPES record last updated Mar 16, 2026

Key facts

NPI
1124976261
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
3948 Ben Walters LN
Homer, AK 99603-7708
Phone
(907) 235-7701
Fax
(888) 274-1448
NPI assigned
Mar 16, 2026
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Yes

Addresses

Primary practice location

3948 Ben Walters LN
Homer, AK 99603-7708

Mailing address

3948 Ben Walters LN
Homer, AK 99603-7708
Phone (907) 235-7701

Other identifiers

IdentifierTypeStateIssuer
1020987MedicaidAK

Other providers in Homer, AK

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

Sources for this page

Verify at the official NPI Registry.