NPIMap

Organization Active NPI

Metlakatla Indian Community

Doing business as Annette Islands Service Unit

  • Health Service Clinic/Center
  • Metlakatla, AK
National Provider Identifier
1740294081
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
METLAKATLA INDIAN COMMUNITY
Doing business as
Annette Islands Service Unit
Practice address
563 Brendible Street
Metlakatla, AK 99926
Phone
(907) 886-6601
Fax
(907) 886-6976
NPI assigned
Jul 29, 2006
Last updated
Mar 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Authorized official

Name
Susan Ashley Guthrie
Title
Tribal Health Director
Phone
(907) 886-5811

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary
Durable Medical Equipment & Medical Supplies 332B00000X
Water Ambulance 3416S0300X
Community Health/Public Health Clinical Nurse Specialist 364SC1501X
Clinical Psychologist 103TC0700X
Family Psychologist 103TF0000X
Dentist 122300000X
Community Health Worker 172V00000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X

Addresses

Primary practice location

563 Brendible Street
Metlakatla, AK 99926

Mailing address

563 Brendible Street
Metlakatla, AK 99926-0439
Phone (907) 886-4741

Other identifiers 4

IdentifierTypeStateIssuer
MS4579MedicaidAK
PH4579MedicaidAK
CL0299MedicaidAK
TR4579MedicaidAK

Other names 1

  • Annette Islands Service Unit Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031208000361 TX Part B Supplier - Clinic/Group Practice 5890691315 Receives reassigned benefits from 42 practitioners
Practice locations: Metlakatla, AK

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: bacothren@direct.aisu.org
  • Direct secure messaging: czwilliams@direct.aisu.org
  • Direct secure messaging: drkelly@direct.aisu.org
  • Direct secure messaging: jasimental@direct.aisu.org

Practitioners & affiliated clinicians

Practitioners 43

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 43

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773792000000",
    "number": "1740294081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "563 BRENDIBLE STREET",
            "city": "METLAKATLA",
            "state": "AK",
            "postal_code": "999260439",
            "telephone_number": "907-886-4741",
            "fax_number": "907-886-6976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "563 BRENDIBLE STREET",
            "city": "METLAKATLA",
            "state": "AK",
            "postal_code": "99926",
            "telephone_number": "907-886-6601",
            "fax_number": "907-886-6976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METLAKATLA INDIAN COMMUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A",
        "authorized_official_last_name": "GUTHRIE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "ASHLEY",
        "authorized_official_title_or_position": "TRIBAL HEALTH DIRECTOR",
        "authorized_official_telephone_number": "907-886-5811"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416S0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Water Transport",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SC1501X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Community Health/Public Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332800000X",
            "taxonomy_group": "",
            "desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MS4579",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PH4579",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CL0299",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TR4579",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Annette Islands Service Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Metlakatla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; 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.