NPIMap

Organization Active NPI

Norton Sound Health Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shaktoolik, AK
National Provider Identifier
1265023725
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
NORTON SOUND HEALTH CORPORATION
Practice address
1St Main Street
Shaktoolik, AK 99771
Phone
(907) 443-3311
NPI assigned
Jan 28, 2021
Last updated
Jan 28, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTON SOUND HEALTH CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1St Main Street
Shaktoolik, AK 99771

Mailing address

PO Box 966
Nome, AK 99762-0966
Phone (907) 443-3111

National Provider Directory

National Provider Directory
Tax ID family
Norton Sound Health Corp71 organizations share this tax ID, including this one
Part of
Norton Sound Health Corp

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

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": "1611792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611792000000",
    "number": "1265023725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 966",
            "city": "NOME",
            "state": "AK",
            "postal_code": "997620966",
            "telephone_number": "907-443-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1ST MAIN STREET",
            "city": "SHAKTOOLIK",
            "state": "AK",
            "postal_code": "99771",
            "telephone_number": "907-443-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTON SOUND HEALTH CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTON SOUND HEALTH CORPORATION",
        "enumeration_date": "2021-01-28",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-11",
        "status": "A",
        "authorized_official_last_name": "GORN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "FAUSTINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "907-443-3286"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shaktoolik, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; 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.