NPIMap

Organization Active NPI

Aleutian Pribilof Islands Assoc Inc

  • Supports Brokerage Agency
  • Anchorage, AK
National Provider Identifier
1740403047
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Supports Brokerage AgencyTaxonomy code 251X00000X
License
230280 Issued in AK
Legal business name
ALEUTIAN PRIBILOF ISLANDS ASSOC INC
Practice address
201 E 3Rd Ave
Anchorage, AK 99501
Phone
(907) 276-2700
Fax
(907) 222-4295
NPI assigned
Apr 11, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Supports Brokerage Agency 251X00000X 230280 AK Primary

Addresses

Primary practice location

201 E 3Rd Ave
Anchorage, AK 99501

Mailing address

201 E 3Rd Ave
Anchorage, AK 99501
Phone (907) 276-2700

Other identifiers 1

IdentifierTypeStateIssuer
PCG7331MedicaidAK

National Provider Directory

National Provider Directory
Tax ID family
Aleutian Pribilof Islands Association Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740403047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E 3RD AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99501",
            "telephone_number": "907-276-2700",
            "fax_number": "907-222-4279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E 3RD AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99501",
            "telephone_number": "907-276-2700",
            "fax_number": "907-222-4295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEUTIAN PRIBILOF ISLANDS ASSOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHILEMONOF",
        "authorized_official_first_name": "DIMITRI",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "907-276-2700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": "AK",
            "license": "230280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PCG7331",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.