NPIMap

Organization Active NPI

Kodiak Area Native Association

  • Case Management Agency
  • Kodiak, AK
National Provider Identifier
1174948665
Registry record updated Feb 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
KODIAK AREA NATIVE ASSOCIATION
Practice address
3449 Rezanof Dr E
Kodiak, AK 99615-6952
Phone
(907) 486-9800
Fax
(907) 486-1345
NPI assigned
Feb 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2014

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

Authorized official

Name
Margie Bezona
Title
Senior Vice President of Administra
Phone
(907) 486-9816

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

3449 Rezanof Dr E
Kodiak, AK 99615-6952

Mailing address

3449 Rezanof Dr E
Kodiak, AK 99615-6952
Phone (907) 486-9800

National Provider Directory

National Provider Directory
Tax ID family
Kodiak Area Native Assn5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3449 E Rezanof Dr
Kodiak, AK 99615
Phone (907) 486-9800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1392854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392854400000",
    "number": "1174948665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3449 REZANOF DR E",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996156952",
            "telephone_number": "907-486-9800",
            "fax_number": "907-486-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3449 REZANOF DR E",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996156952",
            "telephone_number": "907-486-9800",
            "fax_number": "907-486-1345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KODIAK AREA NATIVE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-20",
        "last_updated": "2014-02-20",
        "status": "A",
        "authorized_official_last_name": "BEZONA",
        "authorized_official_first_name": "MARGIE",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT OF ADMINISTRA",
        "authorized_official_telephone_number": "907-486-9816"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kodiak, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; 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.