Arctic Slope Native Association LTD
Organization Active NPI Critical Access Hospital · Barrow, AK
NPI 1306933643 · NPPES record last updated Aug 3, 2017
Key facts
- NPI
- 1306933643
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 282NC0060X
- Legal business name
- ARCTIC SLOPE NATIVE ASSOCIATION LTD
- Practice address
- 7000 Uula Street
Barrow, AK 99723 - Phone
- (907) 852-9201
- Fax
- (907) 852-2016
- NPI assigned
- Oct 6, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Jaime Brianne Bucatcat, BAA
- Title
- Revenue Cycle Director
- Phone
- (907) 852-9354
Corporate family (same tax ID) 3
Practitioners 111
-
Sheena Eisen H Adrados, FNP-BC
-
Sheby Alexander, MD
-
Myra Dimitrov Dimitrov, M.D.
-
Joan F Gaela, MD
-
Jacqueline Ann Lesniak, O.D.
-
Yafei Li, RD
-
Dennis Joseph Linderman, DO, MPH
-
Alice L McCauley, MD
-
Christy Shine Pierce, ACNP
-
Aleksandra Katarzyna Radzio, M.U.DR
-
Jacquelyn Louise Serrano, MD, MPH
-
Kenneth T Wallenfelsz, ARNP
-
Jennifer Cantrell Adkins, D.O.
Affiliated clinicians 30
-
Dennis Joseph Linderman, DO, MPH
-
Aleksandra Katarzyna Radzio, M.U.DR
-
Amy Pape Anton, MD
-
Oswaldo Bisbal, MD
-
Andre Gilbert, M.D.,F.A.C.S.
-
Shahid Habib, MD
-
Caroline Frances Howell, PA-C
-
Phillip K. Kay, MD
-
Kristina Lyons, APRN
-
Philip L Martin, M.D.
-
Corey A MC Leod, MD
-
Sarah J. McCullough, M.D.
-
Peter Mohai, MD
-
Matthew Nelson, DO
-
Robert W Orr, MD
-
Nimra Sarfaraz, D.O
Medicare Care Compare: Hospital
- Listed as
- Samuel Simmonds Memorial Hospital
- Type
- Critical Access Hospitals
- Ownership
- Tribal
- Medicare certification status
- Active
- Emergency services
- Yes
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 02D0641844 | Samuel Simmonds Memorial Hospital Lab | Accreditation | Feb 8, 2027 |
| 02D0958000 | Samuel Simmonds Memorial Hospital | Certificate of waiver | Mar 7, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AK
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
- LLC · Non-profit
- Incorporated
- in AK
- Enrollment address
- 7000 Uula St.
Samuels Simmonds Memorial Hospital
Barrow, AK 99723-0029
Hospital certification: CCN 02Z312
- Legal name
- ARCTIC SLOPE NATIVE ASSOCIATION LTD
- Doing business as
- SAMUEL SIMMONS MEMORIAL HOSPITAL
- Organization structure
- Corporation · Non-profit
- Incorporated
- Oct 1, 1992 in AK
- Enrollment address
- 7000 Uula Street
Barrow, AK 99723-0029
All disclosed owners & managing parties 3
| Name | Role | Since | Share |
|---|---|---|---|
| Jaime Bucatcat |
W-2 Managing Employee |
Jun 25, 2016 | |
| W-2 Managing Employee | Jun 25, 2016 | ||
| Andrew Stemp |
Operational/Managerial Control |
Apr 1, 2019 | |
| Richard Hall |
W-2 Managing Employee |
Jun 25, 2016 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Tax ID family
- Marshall Medical Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | Yes |
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
- Sammuel Simmonds Memorial Hospital
- Samuel Simmonds Memorial Hospital
Other providers in Barrow, AK
- Rebecca Andrew
- Arctic Physical Medicine Barrow
- Arctic Slope Native Association
- Arctic Slope Native Association
- Arctic Slope Native Association
- Arctic Therapy and Rehab Barrow, LLC
- Asna-Samuel Simmonds Memorial Hospital
- Melissa Barr
- Gandy Guinevere Becker
- Yvonne Lorraine Biswokarma
All providers in Barrow, AK · Critical Access Hospital in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.