Arch Priest Nicholas Kompkoff Clinic

LBN: Chugachmiut
Arch Priest Nicholas Kompkoff Clinic is an health care organization with primary practice located at 625 Main Street , Chenega AK 99574-8029. The organization recently has only one registered license in Ambulatory Health Care Facilities / Community Health, which is considered as the primary health care specialty. Chugachmiut can be contacted via phone (907) 573-5129, or through Baker, Kelley via phone (907) 562-4155.

Contact Information

Primary practice address
625 Main Street Chenega AK 99574-8029
Phone: (907) 573-5129
Fax: (907) 573-5148
Website:
Map and Directions
Authorized official contact:
Name: Baker, Kelley
Phone: (907) 562-4155

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Community Health 261QC1500X

Profile Details

NPI number 1700057676
LBN Legal business name Chugachmiut
DBA Doing business as Arch Priest Nicholas Kompkoff Clinic
Authorized official Baker, Kelley
Entity Organization
Organization subpart 1 No
Enumeration date Mar 18th, 2008
Last updated Dec 15th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700057676 NPPES
Alaska MEDICAID 1021383

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