Active NPI
Yakutat Tribal Health Board
Doing business as Yakutat Community Health Center
- Clinic/Center
- Yakutat, AK
National Provider Identifier
1871529628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 288254
- Legal business name
- YAKUTAT TRIBAL HEALTH BOARD
- Doing business as
- Yakutat Community Health Center
- Practice address
- 115 Airport Rd
Yakutat, AK 99689 - Phone
- (907) 784-3275
- Fax
- (907) 784-3263
- NPI assigned
- Jun 23, 2006
- Last updated
- Jun 30, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cathy Wassillie
- Title
- Finance Manager
- Phone
- (907) 784-3275
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 288254 | AK | Primary |
| Physician Assistant | 363A00000X | NU | ||
| Nurse Practitioner | 363L00000X | NU |
Addresses
Primary practice location
115 Airport Rd
Yakutat, AK 99689
Mailing address
PO Box 112
Yakutat, AK 99689-0112
Phone (907) 784-3275
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MEDICAID | Medicaid | AK |
Other names 1
- Yakutat Community Health Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 02D0695995 | Yakutat Community Health Center | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- achapman@direct.y-chc.org
- dhardwick@direct.y-chc.org
- dscheel@direct.y-chc.org
- lapulley@direct.y-chc.org
- mtsteinhauser@direct.y-chc.org
- prhurd@direct.scf.cc
- sesimmons@direct.y-chc.org
- tmacfarlane@direct.y-chc.org
Practitioners & affiliated clinicians
Practitioners 106
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.
-
- Child & Adolescent Psychiatry Physician
- Rock Hill, SC
- NPI 1124041645
TX
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1625011200000",
"number": "1871529628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 112",
"city": "YAKUTAT",
"state": "AK",
"postal_code": "996890112",
"telephone_number": "907-784-3275",
"fax_number": "907-784-3263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 AIRPORT RD",
"city": "YAKUTAT",
"state": "AK",
"postal_code": "99689",
"telephone_number": "907-784-3275",
"fax_number": "907-784-3263"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YAKUTAT TRIBAL HEALTH BOARD",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-23",
"last_updated": "2021-06-30",
"certification_date": "2021-06-10",
"status": "A",
"authorized_official_last_name": "WASSILLIE",
"authorized_official_first_name": "CATHY",
"authorized_official_title_or_position": "FINANCE MANAGER",
"authorized_official_telephone_number": "907-784-3275"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "AK",
"license": "288254",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MEDICAID",
"state": "AK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Yakutat Community Health Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Yakutat Community Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Yakutat, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.