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Norton Sound Health Corporation

Organization Active NPI Medicare Defined Swing Bed Hospital Unit · Nome, AK

NPI 1184850893 · NPPES record last updated May 19, 2014

Key facts

NPI
1184850893
Entity type
Organization (NPI type 2)
Primary specialty
Medicare Defined Swing Bed Hospital Unit 275N00000X
License
155538 (AK)
Legal business name
NORTON SOUND HEALTH CORPORATION
Practice address
1000 Greg Kruschek Ave
Nome, AK 99762
Phone
(907) 443-3311
Fax
(907) 443-3723
NPI assigned
Jun 9, 2009
Organization subpart
Yes
Parent organization (as reported)
NORTON SOUND HEALTH CORPORATION

Authorized official

Name
Angela Gorn
Title
Ceo
Phone
(907) 443-3286

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 20

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

Facilities connected through Provider of Services related, parent or unit certification numbers.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners 13

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

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AK

Hospital certification: CCN 02Z308

Legal name
NORTON SOUND HEALTH CORPORATION
Organization structure
Corporation · Non-profit
Incorporated
Oct 1, 1970 in AK
Enrollment address
1000 Greg Kruschek Ave
Nome, AK 99762-0966

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Christopher M Bolton
Individual 		Corporate Officer
Coo		 Dec 15, 2015
W-2 Managing Employee
Coo		 Feb 14, 2015
Kelly Bogart
Individual 		Corporate Officer
V P of Hospital Services		 Aug 1, 2018
Preston Rookok
Individual 		Corporate Director
Trustee		 Sep 18, 2018
Debra M Peacock
Individual 		Corporate Officer
Chief Financial Officer		 Mar 15, 2015
Angela Gorn
Individual 		Corporate Director
Ceo		 Oct 1, 2005 100%
W-2 Managing Employee
Ceo		 Oct 1, 2005 100%
Norton Sound Health Corporation
Organization · Nome, AK
Non-profit 		Operational/Managerial Control Jun 4, 2008

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Same
Nome, AK · CCN 021308		 Hospital Operational/Managerial Control Oct 1, 1972
Norton Sound Health Corporation
Nome, AK · CCN 025026		 Skilled nursing facility Adp of the SNF Oct 1, 1972

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20090701000470 AK Part a Provider - Critical Access Hospital 7517858137 Practice locations: Nome, AK

National Provider Directory

Tax ID family
Norton Sound Health Corpor (71 organizations share this tax ID)
Part of
Norton Sound Health Corpor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 155538 AK Yes

Addresses

Primary practice location

1000 Greg Kruschek Ave
Nome, AK 99762

Mailing address

P O Box 966
1000 Greg Kruschek Ave
Nome, AK 99762
Phone (907) 443-3311

Other providers in Nome, AK

All providers in Nome, AK · Medicare Defined Swing Bed Hospital Unit in Alaska

Sources for this page

Verify at the official NPI Registry.