NPIMap

Organization Active NPI

Camai Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Naknek, AK
National Provider Identifier
1679718019
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
911656 Issued in 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
Last updated
Sep 1, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Authorized official

Name
Mrs. Mary Swain
Title
Executive Director/Ceo
Phone
(907) 246-6155

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 911656 AK Primary
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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679718019. Details of each certification follow.

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
CorporationNon-profit
Incorporated
Feb 27, 2007 in AK
Enrollment address
2 School Road
Naknek, AK 99633-0211

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20726/brand/1/csg/1/fhir/r4

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Robert Lee Individual Corporate DirectorBoard Member Jan 17, 2012
Mary Swain Individual Corporate Officer Sep 1, 2017
Corporate DirectorExecutive Director Sep 1, 2017
W-2 Managing Employee Sep 1, 2017
Operational/Managerial Control Sep 1, 2017

Practitioners & affiliated clinicians

Practitioners 44

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.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1229299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598918400000",
    "number": "1679718019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211",
            "city": "NAKNEK",
            "state": "AK",
            "postal_code": "996330211",
            "telephone_number": "907-246-6155",
            "fax_number": "907-246-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "# 2 SCHOOL RD",
            "city": "NAKNEK",
            "state": "AK",
            "postal_code": "996330211",
            "telephone_number": "907-246-6155",
            "fax_number": "907-246-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMAI COMMUNITY HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-15",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A",
        "authorized_official_last_name": "SWAIN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/CEO",
        "authorized_official_telephone_number": "907-246-6155",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "AK",
            "license": "911656",
            "primary": true
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naknek, AK

Sources for this page

Verify at the official NPI Registry.