NPIMap

Organization Active NPI

Alaska Native Tribal Health Consortium

Doing business as ANTHC Internal Medicine Pharmacy

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Anchorage, AK
National Provider Identifier
1679931059
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyTaxonomy code 332800000X
Legal business name
ALASKA NATIVE TRIBAL HEALTH CONSORTIUM
Doing business as
ANTHC Internal Medicine Pharmacy
Practice address
3900 Ambassador Dr Ste 311
Anchorage, AK 99508-5922
Phone
(907) 729-2112
Fax
(907) 729-2190
NPI assigned
Feb 1, 2016
Last updated
Mar 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Authorized official

Name
Ashley Schaber
Title
Pharmacy Director
Phone
(907) 729-2126

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X Primary
Pharmacy 333600000X
Clinic Pharmacy 3336C0002X

Addresses

Primary practice location

3900 Ambassador Dr Ste 311
Anchorage, AK 99508-5922

Mailing address

4315 Diplomacy Dr
Outpatient Pharmacy
Anchorage, AK 99508-5926
Phone (907) 729-2112

Other names 1

  • ANTHC Internal Medicine Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090424000089 TX Part A Provider - Hospital 6709780265 12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Anchorage, AK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679931059. Details of each certification follow.

Hospital certification: CCN 020026

Legal name
ALASKA NATIVE TRIBAL HEALTH CONSORTIUM
Doing business as
ALASKA NATIVE MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jan 9, 1978
Last certification
Oct 27, 2023
Beds
167
Ownership / control type
Federal
Organization structure
CorporationNon-profit
Incorporated
Dec 5, 1997 in AK
Enrollment address
4315 Diplomacy Dr
Anchorage, AK 99508-5926
Main/Primary Hospital Location
Hospital subgroups
General, Acute care, Short-term

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Alaska Native Medical CenterCCN 020026 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Government - Federal
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Alaska Native Tribal Health Consortium23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

Locations

3900 Ambassador Dr
Ste 311
Anchorage, AK 99508
Phone (907) 729-2112

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Southcentral Foundation Organization, Anchorage, AK Corporation, Medical provider/supplier, Non-profit Other Jan 1, 1999
Dwain Stilson Individual Corporate OfficerChief Financial Officer Feb 28, 2022
W-2 Managing EmployeeChief Financial Officer of Anthc Feb 28, 2022
Douglas Eby Individual OtherExecutive VP of Spec Srvcs of SCF Jan 1, 1999
Ashley Wheeler Individual W-2 Managing EmployeeDelegated Official Nov 20, 2023
Jennifer Mills Individual W-2 Managing Employee Dec 12, 2019

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 691

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 691

NPI Registry JSON

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

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1679931059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4315 DIPLOMACY DR",
            "address_2": "OUTPATIENT PHARMACY",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085926",
            "telephone_number": "907-729-2112",
            "fax_number": "907-729-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 AMBASSADOR DR STE 311",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085922",
            "telephone_number": "907-729-2112",
            "fax_number": "907-729-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALASKA NATIVE TRIBAL HEALTH CONSORTIUM",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-01",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "SCHABER",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "907-729-2126"
    },
    "taxonomies": [
        {
            "code": "332800000X",
            "taxonomy_group": "",
            "desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANTHC Internal Medicine Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ANTHC Internal Medicine Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.