Flora M Newlin

Individual provider Active NPI Community Health Worker · Noorvik, AK

NPI 1598032088 · NPPES record last updated Nov 28, 2011

Key facts

NPI
1598032088
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
License
03-629-P (AK)
Practice address
1897 Tundra Way
Noorvik, AK 99763-0189
Phone
(907) 636-2103
Fax
(907) 636-2195
NPI assigned
Nov 28, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
03-629-PAKMDCommunity Health Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Maniilaq Association Past
since Feb 27, 2022
Accepting new patients
Maniilaq Association Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X 03-629-P AK Yes

Addresses

Primary practice location

1897 Tundra Way
Noorvik, AK 99763-0189

Mailing address

1897 Tundra Way
PO Box 189
Noorvik, AK 99763-0189
Phone (907) 636-2103

Other providers in Noorvik, AK

All providers in Noorvik, AK · Community Health Worker in Alaska

Sources for this page

Verify at the official NPI Registry.