Eastern Aleutian Tribes, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

EASTERN ALEUTIAN TRIBES, INC.

Practice address

301 Kenai Street
Whittier, AK 99693

Phone

(907) 472-2303

Fax

(907) 472-2339

NPI assigned

Dec 18, 2006

Last updated

May 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer Dahle Harrison

Title

Ceo

Phone

(907) 277-1440

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK, TX2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 9

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

• Aleutian Pribilof Islands Association, Inc

  • Community Health Clinic/Center
  • St. George, AK
  • NPI 1013079755

  O20040331000995

  Same enrollment
• Eastern Aleutian Tribes, Inc

  • Community Health Worker
  • Sand Point, AK
  • NPI 1033292693

  O20040331000995

  Same enrollment
• Eastern Aleutian Tribes, Inc

  • Community Health Clinic/Center
  • Adak, AK
  • NPI 1285796094

  O20040331000995, O20180413000684

  Same enrollment
• Eastern Aleutian Tribes, Inc

  • Clinic/Center
  • Sand Point, AK
  • NPI 1346662608

  O20040331000995, O20180413000684

  Same enrollment
• Eastern Aleutian Tribes, Inc

  • Community Health Clinic/Center
  • Akutan, AK
  • NPI 1558423392

  O20040331000995, O20180413000684

  Same enrollment
• Eastern Aleutian Tribes, Inc

  • Community Health Clinic/Center
  • King Cove, AK
  • NPI 1649332446

  O20040331000995, O20180413000684

  Same enrollment
• Eastern Aleutian Tribes, Inc

  • Community Health Clinic/Center
  • False Pass, AK
  • NPI 1841352689

  O20040331000995, O20180413000684

  Same enrollment
• Eastern Aleutian Tribes, Inc.

  • Community Health Clinic/Center
  • Nelson Lagoon, AK
  • NPI 1003970062

  O20040331000995, O20180413000684

  Same enrollment
• Eastern Aleutian Tribes, Inc.

  • Community Health Clinic/Center
  • Cold Bay, AK
  • NPI 1124180963

  O20040331000995, O20180413000684

  Same enrollment

Practitioners 2

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.

• Melodie Isgro, MD

  • Addiction Medicine (Preventive Medicine) Physician
  • Anchorage, AK
  • NPI 1528094968
  NPD
• Olivia Jean Wall Petrie, PA-C

  • Physician Assistant
  • Girdwood, AK
  • NPI 1124416334
  NPD (past)

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526428800000",
    "number": "1467515148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3380 C STREET",
            "address_2": "SUITE 100",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99503",
            "telephone_number": "907-277-1440",
            "fax_number": "907-277-1436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 KENAI STREET",
            "city": "WHITTIER",
            "state": "AK",
            "postal_code": "99693",
            "telephone_number": "907-472-2303",
            "fax_number": "907-472-2339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN ALEUTIAN TRIBES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2018-05-16",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "DAHLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "907-277-1440",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City of Whittier (City of Whittier Fire Department)
• Patricia W Hoffstatter, FNP
• Sarah Kelley

• Federally Qualified Health Center (FQHC) in Whittier, AK
• Providers in Whittier, AK by specialty
• Federally Qualified Health Center (FQHC) in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; 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.