Camai Community Health Center, Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Naknek, AK
NPI 1679718019 · NPPES record last updated Sep 1, 2020
Key facts
- NPI
- 1679718019
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- License
- 911656 (AK)
- Legal business name
- CAMAI COMMUNITY HEALTH CENTER, INC.
- Practice address
- # 2 School Rd
Naknek, AK 99633-0211 - Phone
- (907) 246-6155
- Fax
- (907) 246-6155
- NPI assigned
- Dec 15, 2008
- Organization subpart
- No
Authorized official
- Name
- Mrs. Mary Swain
- Title
- Executive Director/Ceo
- Phone
- (907) 246-6155
Practitioners 44
-
Marilyn Vink, APRN
-
Kelly Anne Johnson, FNP-C
-
Robert Oliver Meyer, FNP
-
Jason Rutter, PA-C
-
Julie L Sweet-Perez, ARNP
-
Donald Edwin Tanner, FNP-C
-
Katherine Grace Van Atta, PA-C, CNM
-
Brianna Collins, PA
-
Vickie Glover, PA
-
Richard Jay Laflame, PA-C
-
Christiaan FS Collier, NP-C
-
Darlene S. Dunn, NP-C, PHD
-
Haley Hughes, MS, RD, CDE
-
Monica Ann Mansell, MSN, RN, FNP-C
-
Rachel Adams Minick, FNP
-
Erica C Foster, MD
-
Catherine Henderson, FNP
-
Karen Lynn Lewis, NP
-
La Wanda Arnita Pulley, FNP-C
-
Megan Beth Ryan, FNP
-
Jill Elaine Saylor, FNP-BC, NP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AK
Federally qualified health center certification: CCN 021839
- Legal name
- CAMAI COMMUNITY HEALTH CENTER INC
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Oct 16, 2009
- Last certification
- Oct 16, 2009
- Ownership / control type
- For profit – partnership
- Organization structure
- Corporation · Non-profit
- Incorporated
- Feb 27, 2007 in AK
- Enrollment address
- 2 School Road
Naknek, AK 99633-0211
All disclosed owners & managing parties 2
| Name | Role | Since | Share |
|---|---|---|---|
| Robert Lee |
Corporate Director |
Jan 17, 2012 | |
| Mary Swain |
Corporate Officer | Sep 1, 2017 | |
| Corporate Director |
Sep 1, 2017 | ||
| W-2 Managing Employee | Sep 1, 2017 | ||
| Operational/Managerial Control | Sep 1, 2017 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091016000135 | AK | Part a Provider - Federally Qualified Health Center (FQHC) | 3476690876 | Practice locations: Naknek, AK |
| O20120425000388 | AK | Part B Supplier - Clinic/Group Practice | 3476690876 |
Receives reassigned benefits from 37 practitioners Practice locations: Naknek, AK |
National Provider Directory
Interoperability endpoints
- https://api.platform.athenahealth.com/20726/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | 911656 | AK | Yes |
| Federally Qualified Health Center (FQHC) | 261QF0400X |
Addresses
Primary practice location
# 2 School Rd
Naknek, AK 99633-0211
Mailing address
PO Box 211
Naknek, AK 99633-0211
Phone (907) 246-6155
Other providers in Naknek, AK
- Bristol Bay Area Health Corporation
- Bristol Bay Area Health Corporation
- Bristol Bay Borough
- Bristol Bay Borough
- Gayle Darlene Claus
- Katie Copps
- Whitney M Holmes
- Kelly W Lucas
- Monica Ann Mansell
All providers in Naknek, AK · Federally Qualified Health Center (FQHC) in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.