Native Village of Eyak
Organization Active NPI Clinic/Center · Cordova, AK
NPI 1134471287 · NPPES record last updated May 27, 2020
Key facts
- NPI
- 1134471287
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- NATIVE VILLAGE OF EYAK
- Practice address
- 705 Second St
Cordova, AK 99574 - Phone
- (907) 424-3622
- NPI assigned
- Oct 12, 2012
- Organization subpart
- No
Authorized official
- Name
- Penney Benson
- Title
- Administrator
- Phone
- (907) 424-3622
Practitioners 42
-
Sun Young An, LPC
-
Rona Sue Haberman, LCSW
-
Melinda M Hansen, M.D.
-
Benjamin Head, MD
-
James Henkelman, LCSW, MSW
-
Brian Iutzi, M.D.
-
Laily Mahoozi, M.D.
-
Joseph Nyholm, RD
-
Susan E.C. Powell, LPC
-
Delia M. Reyes, FNP-BC
-
Kristel Wyn Rush, MD
-
Barbara Solomon, CNS LDN
-
John Herman Yakanak II, BHA III, MSCP
-
Michelle Denault, M.D.
-
Lucinda Lee Motley-Davis, FNP-C
-
Brenda Kay Thayer, LPC
-
Gary W. Vanwinkle, M.D.
-
Daron Alan Watts, M.D.
-
Sue E Christiansen, PA-C
-
William L Cooper, M.D.
-
Myron Fribush, M.D.
-
Steve T Goniotakis, PAC
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | AK | Yes |
Addresses
Primary practice location
705 Second St
Cordova, AK 99574
Mailing address
PO Box 196720
Anchorage, AK 99519-6720
Phone (907) 424-3622
Other names
- Ilanka Community Health Center
Other providers in Cordova, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.