NPIMap

Organization Active NPI

Samuel Simmonds Memorial Hospital

  • Rural Acute Care Hospital
  • Barrow, AK
National Provider Identifier
1881859577
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
License
28849 Issued in AK
Legal business name
SAMUEL SIMMONDS MEMORIAL HOSPITAL
Practice address
1296 Agvik Street
Barrow, AK 99723
Phone
(907) 852-4611
NPI assigned
Jul 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Authorized official

Name
Dina Villanueva, D.O.
Title
Medical Director
Phone
(907) 852-4611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Acute Care Hospital 282NR1301X 28849 AK Primary

Addresses

Primary practice location

1296 Agvik Street
Barrow, AK 99723

Mailing address

1296 Agvik Street
P.O. Box 29
Barrow, AK 99723
Phone (907) 852-4611

Other identifiers 1

IdentifierTypeStateIssuer
HS230PMedicaidAK

National Provider Directory

National Provider Directory
Tax ID family
Marshall Medical Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1216771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1881859577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1296 AGVIK STREET",
            "address_2": "P.O. BOX 29",
            "city": "BARROW",
            "state": "AK",
            "postal_code": "99723",
            "telephone_number": "907-852-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1296 AGVIK STREET",
            "city": "BARROW",
            "state": "AK",
            "postal_code": "99723",
            "telephone_number": "907-852-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL SIMMONDS MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-23",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "VILLANUEVA",
        "authorized_official_first_name": "DINA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "907-852-4611",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "AK",
            "license": "28849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HS230P",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barrow, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.