Warren Compton

Individual provider Active NPI Community Health Worker · Selawik, AK

NPI 1851669428 · NPPES record last updated Dec 9, 2011

Key facts

NPI
1851669428
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
License
08-972-P (AK)
Practice address
180 Main Street
Selawik, AK 99770
Phone
(907) 484-2199
Fax
(907) 484-2119
NPI assigned
Dec 9, 2011
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
08-972-PAKMDCommunity Health Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X 08-972-P AK Yes

Addresses

Primary practice location

180 Main Street
Selawik, AK 99770

Mailing address

1 Airport Way
Selawik, AK 99770

Other providers in Selawik, AK

All providers in Selawik, AK · Community Health Worker in Alaska

Sources for this page

Verify at the official NPI Registry.