NPIMap

Organization Active NPI

Iliuliuk Family and Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Unalaska, AK
National Provider Identifier
1376520692
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 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
Last updated
Jul 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Authorized official

Name
Nichole Hunt
Title
Direct of Revenue Cycle
Phone
(480) 525-8450

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X
Federally Qualified Health Center (FQHC) 261QF0400X Primary
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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 56

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 56

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1376520692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 144",
            "city": "UNALASKA",
            "state": "AK",
            "postal_code": "996850144",
            "telephone_number": "907-581-1202",
            "fax_number": "907-581-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 LAVELLE COURT",
            "city": "UNALASKA",
            "state": "AK",
            "postal_code": "996850144",
            "telephone_number": "907-581-1202",
            "fax_number": "907-581-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILIULIUK FAMILY AND HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-28",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_title_or_position": "DIRECT OF REVENUE CYCLE",
        "authorized_official_telephone_number": "480-525-8450"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Unalaska, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.