Olga M Clark
Individual provider Active NPI Community Health Worker · Kasigluk, AK
NPI 1194197350 · NPPES record last updated Oct 28, 2015
Key facts
- NPI
- 1194197350
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 9 Akulmiut Road
Kasigluk, AK 99609 - Phone
- (904) 777-6210
- Fax
- (907) 477-6120
- NPI assigned
- Oct 28, 2015
- Sex
- Female
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
9 Akulmiut Road
Kasigluk, AK 99609
Mailing address
PO Box 99
Kasigluk, AK 99609-0099
Phone (904) 777-6210
Other providers in Kasigluk, AK
- Annie K Andrew
- Wassilene Z.M. Andrew
- Amanda Es Brink
- Renae M Keene
- Katherine B Martin
- Margaret Martin
- Manuel F Seal
- Theresa Twitchell
All providers in Kasigluk, AK · Community Health Worker in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2015. 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.