Iliuliuk Family and Health Services Inc
Organization Active NPI Federally Qualified Health Center (FQHC) · Unalaska, AK
NPI 1376520692 · NPPES record last updated Jul 2, 2024
Key facts
- NPI
- 1376520692
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- ILIULIUK FAMILY AND HEALTH SERVICES INC
- Practice address
- 34 Lavelle Court
Unalaska, AK 99685-0144 - Phone
- (907) 581-1202
- Fax
- (907) 581-2331
- NPI assigned
- Dec 28, 2005
- Organization subpart
- No
Authorized official
- Name
- Nichole Hunt
- Title
- Direct of Revenue Cycle
- Phone
- (480) 525-8450
Practitioners 56
-
James F Walery, M.D.
-
Elyse S. Blum, M.D.
-
Larry M Cai, MD
-
Jong Liu, MD
-
Thomas Peterson, DNP
-
Gregory William Walter, FNP-C
-
Aaron T Yu, MD
-
Ann Nora Ehret, DO
-
Elizabeth Anne Hosselkus, M.D.
-
Jesse Jennings Kincaid, M.D.
-
Megan Sarnecki, MD
-
Mackenzie Slater, M.D.
-
Laurence D Cambron, MD PHD
-
Paul G Craig, MD
-
Karoly John Dobay III, D.O.
-
Michael Fortney, M.D.
-
Kristin Ruth Grant, M.D.
-
Scott D Harrison, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AK, WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040109000063 | AK | Part B Supplier - Clinic/Group Practice | 5294635165 |
Receives reassigned benefits from 41 practitioners Practice locations: Unalaska, AK |
| O20231030001236 | WA | Part B Supplier - Clinic/Group Practice | 5294635165 |
Receives reassigned benefits from 25 practitioners Practice locations: Mount Vernon, WA; Kirkland, WA; La Conner, WA; Lynnwood, WA; Port Townsend, WA; Seattle, WA; Bellingham, WA; Coupeville, WA… |
National Provider Directory
Locations
125 N 18th St
Mount Vernon, WA 98273
Phone (360) 428-3068
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes | ||
| Multi-Specialty Clinic/Center | 261QM1300X |
Addresses
Primary practice location
34 Lavelle Court
Unalaska, AK 99685-0144
Mailing address
PO Box 144
Unalaska, AK 99685-0144
Phone (907) 581-1202
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RH522FQ | Medicaid | AK |
Other providers in Unalaska, AK
- Laura Marie Homacki
- Kim Lynn Honan
- Valerie Hupe
- Iliuliuk Family &Health Services, Inc.
- Iliuliuk Family &Health Services, Inc.
- James Mushovic, D.M.D., Inc
- Kenneth Byron Johnson
- Maria Green Kallman
- Christine Lynn King
- Arnold Terry Magy
All providers in Unalaska, AK · Federally Qualified Health Center (FQHC) in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2024. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.