Wassilie P Tinker
Individual provider Active NPI Community Health Worker · Emmonak, AK
NPI 1891452629 · NPPES record last updated Nov 29, 2021
Key facts
- NPI
- 1891452629
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 215 Kwiguk Street
Emmonak, AK 99581 - Phone
- (907) 949-3500
- Fax
- (907) 949-3541
- NPI assigned
- Nov 29, 2021
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
215 Kwiguk Street
Emmonak, AK 99581
Mailing address
215 Kwiguk Street
Emmonak, AK 99581
Phone (907) 949-3500
Other providers in Emmonak, AK
- Bonnie Jean Hunt
- Travis J Kassaiuli
- Stella Leopold
- Kimberly A Moore
- Laurentia R Redfox
- Yukon Kuskokwim Health Corporation
- Yukon Kuskokwim Health Corporation
All providers in Emmonak, AK · Community Health Worker in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.