NPIMap

Organization Active NPI

Alaska Native Tribal Health Consortium

  • General Acute Care Hospital
  • Anchorage, AK
National Provider Identifier
1407065899
Registry record updated Aug 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
255468 Issued in AK
Legal business name
ALASKA NATIVE TRIBAL HEALTH CONSORTIUM
Practice address
4315 Diplomacy Dr
Anchorage, AK 99508-5926
Phone
(907) 729-2460
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2009

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

Authorized official

Name
Paul Sherry
Title
Ceo
Phone
(907) 729-1905

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 255468 AK Primary

Addresses

Primary practice location

4315 Diplomacy Dr
Anchorage, AK 99508-5926

Mailing address

4315 Diplomacy Dr
Anchorage, AK 99508-5926
Phone (907) 729-2460

Other identifiers 1

IdentifierTypeStateIssuer
MDG277MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090424000089 TX Part A Provider - Hospital 6709780265 12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Anchorage, AK

Hospital certification: CCN 020026

Legal name
ALASKA NATIVE TRIBAL HEALTH CONSORTIUM
Doing business as
ALASKA NATIVE MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jan 9, 1978
Last certification
Oct 27, 2023
Beds
167
Ownership / control type
Federal
Organization structure
CorporationNon-profit
Incorporated
Dec 5, 1997 in AK
Enrollment address
4315 Diplomacy Dr
Anchorage, AK 99508-5926
Main/Primary Hospital Location
Hospital subgroups
General, Acute care, Short-term

Other NPIs on the same Medicare enrollment 12

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Alaska Native Medical CenterCCN 020026
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Government - Federal
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Alaska Native Medical Center22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

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

View all 21

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Southcentral Foundation Organization, Anchorage, AK Corporation, Medical provider/supplier, Non-profit Other Jan 1, 1999
Dwain Stilson Individual Corporate OfficerChief Financial Officer Feb 28, 2022
W-2 Managing EmployeeChief Financial Officer of Anthc Feb 28, 2022
Douglas Eby Individual OtherExecutive VP of Spec Srvcs of SCF Jan 1, 1999
Ashley Wheeler Individual W-2 Managing EmployeeDelegated Official Nov 20, 2023
Jennifer Mills Individual W-2 Managing Employee Dec 12, 2019

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 691

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

View all 691

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1407065899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4315 DIPLOMACY DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085926",
            "telephone_number": "907-729-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4315 DIPLOMACY DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085926",
            "telephone_number": "907-729-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALASKA NATIVE TRIBAL HEALTH CONSORTIUM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "SHERRY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "907-729-1905"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AK",
            "license": "255468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MDG277",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.