Susie Sam
Individual provider Active NPI Community/Behavioral Health Agency · Galena, AK
NPI 1629950563 · NPPES record last updated Jul 22, 2025
Key facts
- NPI
- 1629950563
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Practice address
- PO Box 154
Galena, AK 99741-0154 - Phone
- (907) 656-7215
- Fax
- (907) 656-7215
- NPI assigned
- Jul 22, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
PO Box 154
Galena, AK 99741-0154
Mailing address
200 1St Ave
Fairbanks, AK 99701-4805
Phone (907) 452-8251
Other providers in Galena, AK
- Galena City School District
- Nicole Gregory
- Margaret Huntington
- Rebekah Macon
- Jennessa Rose Miller
- Rebecca Lou Sturdevant
- Tanana Chiefs Conference
- Yukon Koyukuk Elder Assisted Living Consortium
All providers in Galena, AK · Community/Behavioral Health Agency 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 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.