NPIMap

Organization Active NPI

Kenaitze Indian Tribe

Doing business as Dena'ina Wellness Center Soldotna

  • Federally Qualified Health Center (FQHC)
  • Soldotna, AK
National Provider Identifier
1194603076
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
KENAITZE INDIAN TRIBE
Doing business as
Dena'ina Wellness Center Soldotna
Practice address
206 W Rockwell Ave
Soldotna, AK 99669-7439
Phone
(907) 335-7200
NPI assigned
Aug 26, 2025
Last updated
Aug 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Authorized official

Name
Greg Burnett
Title
Finance Director
Phone
(907) 335-7200

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Health Service Clinic/Center 261QH0100X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X

Addresses

Primary practice location

206 W Rockwell Ave
Soldotna, AK 99669-7439

Mailing address

PO Box 988
Kenai, AK 99611-0988
Phone (907) 335-7200

Other names 1

  • Dena'ina Wellness Center Soldotna Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040325000198 AK Part B Supplier - Clinic/Group Practice 4082506225 Receives reassigned benefits from 40 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Kenai, AK; Soldotna, AK
O20200127000403 AK Part A Provider - Indian Health Services Facility 4082506225 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Kenai, AK; Soldotna, AK

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Kenaitze Indian Tribe3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

206 W Rockwell Ave
Soldotna, AK 99669
Phone (907) 335-7200

Ownership & related parties

Subparts reporting this organization as parent 4

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1756166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756166400000",
    "number": "1194603076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 988",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996110988",
            "telephone_number": "907-335-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 W ROCKWELL AVE",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697439",
            "telephone_number": "907-335-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENAITZE INDIAN TRIBE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-26",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A",
        "authorized_official_last_name": "BURNETT",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "907-335-7200"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332800000X",
            "taxonomy_group": "",
            "desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dena'ina Wellness Center Soldotna",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Soldotna, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.