Tribal Government of St. Paul Island

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

TRIBAL GOVERNMENT OF ST. PAUL ISLAND

Doing business as

Aleut Community of St. Paul Island

Practice address

1000 Polovina Turnpike
St. Paul Island, AK 99660

Phone

(907) 546-8301

NPI assigned

Apr 29, 2020

Organization subpart

No

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

Authorized official

Name

Charlene Naulty

Title

Director

Phone

(907) 546-3200

Specialties & licenses 10

Addresses

Other names 1

• Aleut Community of St. Paul Island Doing business as

Electronic endpoints 3

Practitioners 1

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.

• Aubrey Wegeleben, CDCI, ABHC

  • Addiction (Substance Use Disorder) Counselor
  • St. Paul, AK
  • NPI 1124682091
  NPD (past)

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

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1669093837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86",
            "city": "SAINT PAUL ISLAND",
            "state": "AK",
            "postal_code": "996600086",
            "telephone_number": "907-546-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 POLOVINA TURNPIKE",
            "city": "ST. PAUL ISLAND",
            "state": "AK",
            "postal_code": "99660",
            "telephone_number": "907-546-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIBAL GOVERNMENT OF ST. PAUL ISLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-29",
        "last_updated": "2023-11-27",
        "certification_date": "2020-04-29",
        "status": "A",
        "authorized_official_last_name": "NAULTY",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "907-546-3200"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@aleut.directak.net",
            "affiliation": "Y",
            "endpointDescription": "Direct Messaging Admin",
            "affiliationName": "Alaska eHealth Network",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4000 Old Seward Hwy Ste 203",
            "city": "Anchorage",
            "state": "AK",
            "country_code": "US",
            "postal_code": "995036068",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@aleut.directak.net",
            "affiliation": "Y",
            "endpointDescription": "Direct Messaging Admin",
            "affiliationName": "Alaska eHealth Network",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4000 Old Seward Hwy Ste 203",
            "city": "Anchorage",
            "state": "AK",
            "country_code": "US",
            "postal_code": "995036068",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@aleut.directak.net",
            "affiliation": "Y",
            "endpointDescription": "Direct Messaging Admin",
            "affiliationName": "Alaska eHealth Network",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4000 Old Seward Hwy Ste 203",
            "city": "Anchorage",
            "state": "AK",
            "country_code": "US",
            "postal_code": "995036068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Aleut Community of St. Paul Island",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Frederick Samuel Greene, PAC
• Barbra J Keller, FNP-C
• Cara Paige Alexandra Lestenkof-Mandregan, CHA-1
• Kimbreyana Chantee McDuffie, APRN, FNP-C
• Cheryl Melovidov, REGISTERED NURSE

• Community Health Clinic/Center in Saint Paul Island, AK
• Providers in Saint Paul Island, AK by specialty
• Community Health Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.