NPIMap

Organization Active NPI

Eastern Aleutian Tribes, Inc

  • Community Health Clinic/Center
  • Adak, AK
National Provider Identifier
1285796094
Registry record updated Apr 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
EASTERN ALEUTIAN TRIBES, INC
Practice address
2105 Main Street
Adak, AK 99546
Phone
(907) 592-8383
Fax
(907) 592-4287
NPI assigned
Dec 15, 2006
Last updated
Apr 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2015

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

Authorized official

Name
Ms. Jennifer Harrison
Title
Executive Director
Phone
(907) 277-1440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X AK Primary

Addresses

Primary practice location

2105 Main Street
Adak, AK 99546

Mailing address

3380 C St
Suite 100
Anchorage, AK 99503-3920
Phone (907) 277-1440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040331000995 AK Part B Supplier - Clinic/Group Practice 2860301884 Receives reassigned benefits from 19 practitioners
9 other NPIs on this enrollment
Practice locations: Adak, AK; Whittier, AK; Sand Point, AK; Nelson Lagoon, AK; False Pass, AK; Cold Bay, AK; Akutan, AK; King Cove, AK
O20180413000684 TX Part B Supplier - Clinic/Group Practice 2860301884 Receives reassigned benefits from 80 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cold Bay, AK; Sand Point, AK; Nelson Lagoon, AK; King Cove, AK; Akutan, AK; Adak, AK; False Pass, AK

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 9

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

National Provider Directory

National Provider Directory

Locations

3380 C St
Ste 107
Anchorage, AK 99503
Phone (907) 277-1440

Practitioners & affiliated clinicians

Practitioners 33

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.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428883200000",
    "number": "1285796094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3380 C ST",
            "address_2": "SUITE 100",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995033920",
            "telephone_number": "907-277-1440",
            "fax_number": "907-277-1436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 MAIN STREET",
            "city": "ADAK",
            "state": "AK",
            "postal_code": "99546",
            "telephone_number": "907-592-8383",
            "fax_number": "907-592-4287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN ALEUTIAN TRIBES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2015-04-13",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "907-277-1440",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Adak, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; 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.