NPIMap

Organization Active NPI

Aleutian Pribilof Islands Assoc Inc

  • Community Health Clinic/Center
  • Unalaska, AK
National Provider Identifier
1689610313
Registry record updated Sep 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
ALEUTIAN PRIBILOF ISLANDS ASSOC INC
Practice address
34 Lavell CT
Oonalaska Wellness Center
Unalaska, AK 99685
Phone
(907) 581-2742
Fax
(907) 581-2040
NPI assigned
Jun 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2010

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

Authorized official

Name
Mr. Dimitri Philemonof
Title
President/Ceo
Phone
(907) 276-2700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

34 Lavell CT
Oonalaska Wellness Center
Unalaska, AK 99685

Mailing address

1131 E International Airport Rd
Anchorage, AK 99518-1408

Other identifiers 1

IdentifierTypeStateIssuer
CL1516MedicaidAK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140225001523 TX Part B Supplier - Clinic/Group Practice 0648310656 Receives reassigned benefits from 34 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Anchorage, AK; Atka, AK; Nikolski, AK; St George Island, AK; Unalaska, AK

Other NPIs on the same Medicare enrollment 4

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

National Provider Directory

National Provider Directory

Locations

1131 E Intl Airport Rd
Anchorage, AK 99518
Phone (907) 276-2700

Interoperability endpoints

  • Direct secure messaging: ggbourque@direct.apiai.org
  • Direct secure messaging: richarde@direct.apiai.org
  • Direct secure messaging: lorij@direct.apiai.org
  • Direct secure messaging: barbrak@direct.apiai.org
  • Direct secure messaging: josephb@direct.apiai.org
  • Direct secure messaging: jmbourque@direct.apiai.org

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284076800000",
    "number": "1689610313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 E INTERNATIONAL AIRPORT RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995181408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 LAVELL CT",
            "address_2": "OONALASKA WELLNESS CENTER",
            "city": "UNALASKA",
            "state": "AK",
            "postal_code": "99685",
            "telephone_number": "907-581-2742",
            "fax_number": "907-581-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEUTIAN PRIBILOF ISLANDS ASSOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2010-09-10",
        "status": "A",
        "authorized_official_last_name": "PHILEMONOF",
        "authorized_official_first_name": "DIMITRI",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "907-276-2700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CL1516",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Unalaska, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.