NPIMap

Organization Active NPI

Arctic Slope Native Association LTD

Doing business as Sammuel Simmonds Memorial Hospital

  • Critical Access Hospital
  • Barrow, AK
National Provider Identifier
1306933643
Registry record updated Aug 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
ARCTIC SLOPE NATIVE ASSOCIATION LTD
Doing business as
Sammuel Simmonds Memorial Hospital
Samuel Simmonds Memorial Hospital
Practice address
7000 Uula Street
Barrow, AK 99723
Phone
(907) 852-9201
Fax
(907) 852-2016
NPI assigned
Oct 6, 2006
Last updated
Aug 3, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2017

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

Authorized official

Name
Ms. Jaime Brianne Bucatcat, BAA
Title
Revenue Cycle Director
Phone
(907) 852-9354

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X Primary

Addresses

Primary practice location

7000 Uula Street
Barrow, AK 99723

Mailing address

PO Box 29
Barrow, AK 99723-0029
Phone (907) 852-9201

Other names 2

  • Sammuel Simmonds Memorial Hospital Doing business as
  • Samuel Simmonds Memorial Hospital Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080129000864 AK Part A Provider - Critical Access Hospital 4082524665 Receives reassigned benefits from 108 practitioners
Practice locations: Barrow, AK
O20161220001889 AK Part A Provider - Critical Access Hospital 4082524665 Receives reassigned benefits from 3 practitioners
Practice locations: Barrow, AK

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1306933643. Details of each certification follow.

Hospital certification: CCN 021312

Legal name
ARCTIC SLOPE NATIVE ASSOCIATION LTD
Doing business as
SAMUEL SIMMONDS MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Oct 1, 2007
Last certification
Dec 13, 2019
Beds
10
Ownership / control type
Tribal
Organization structure
LLCNon-profit
Incorporated
in AK
Enrollment address
7000 Uula St.
Samuels Simmonds Memorial Hospital
Barrow, AK 99723-0029
Other Hospital Practice Location

Hospital certification: CCN 02Z312

Legal name
ARCTIC SLOPE NATIVE ASSOCIATION LTD
Doing business as
SAMUEL SIMMONS MEMORIAL HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
Oct 1, 1992 in AK
Enrollment address
7000 Uula Street
Barrow, AK 99723-0029
Other Hospital Practice Location

Care Compare: Hospital

Medicare Care Compare
Listed as
Samuel Simmonds Memorial HospitalCCN 021312 · All quality measures
Type
Critical Access Hospitals
Ownership
Tribal
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
02D0641844Samuel Simmonds Memorial Hospital Lab7000 Uula St, Barrow, AK 99723AccreditationFeb 8, 2027
02D0958000Samuel Simmonds Memorial Hospital7000 Uula Street, Barrow, AK 99723Certificate of waiverMar 7, 2027

National Provider Directory

National Provider Directory
Tax ID family
Samuel Simmonds Memoria4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Jaime Bucatcat Individual W-2 Managing EmployeeAdministrative Revenue Cycle Dir Jun 25, 2016
W-2 Managing Employee Jun 25, 2016
Andrew Stemp Individual Operational/Managerial ControlChief Financial Officer Apr 1, 2019
Richard Hall Individual W-2 Managing EmployeeHospital Administrator Jun 25, 2016

Practitioners & affiliated clinicians

Practitioners 117

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 117

Affiliated clinicians 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501718400000",
    "number": "1306933643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29",
            "city": "BARROW",
            "state": "AK",
            "postal_code": "997230029",
            "telephone_number": "907-852-9201",
            "fax_number": "907-852-9231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 UULA STREET",
            "city": "BARROW",
            "state": "AK",
            "postal_code": "99723",
            "telephone_number": "907-852-9201",
            "fax_number": "907-852-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCTIC SLOPE NATIVE ASSOCIATION LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2017-08-03",
        "status": "A",
        "authorized_official_last_name": "BUCATCAT",
        "authorized_official_first_name": "JAIME",
        "authorized_official_middle_name": "BRIANNE",
        "authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
        "authorized_official_telephone_number": "907-852-9354",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BAA"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sammuel Simmonds Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Samuel Simmonds Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Barrow, AK

Sources for this page

Verify at the official NPI Registry.