Kodiak Area Native Association

LBN: Kodiak Area Native Association
Kodiak Area Native Association is an health care organization with primary practice located at 3449 E Rezanof Dr , Kodiak AK 99615-6952. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Dental. Ambulatory Health Care Facilities / Dental is the primary health care specialty. Kodiak Area Native Association can be contacted via phone (907) 486-9800, or through Pfeffer, Mike via phone (907) 486-9800.

Contact Information

Primary practice address
3449 E Rezanof Dr Kodiak AK 99615-6952
Fax: (907) 486-9897
Website:
Authorized official contact:
Name: Pfeffer, Mike

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Community Health 261QC1500X
Ambulatory Health Care Facilities / Dental 261QD0000X 233103 Alaska

Profile Details

NPI number 1205883907
LBN Legal business name Kodiak Area Native Association
DBA Doing business as
Authorized official Pfeffer, Mike
Entity Organization
Organization subpart 1 No
Enumeration date May 28th, 2006
Last updated Feb 15th, 2024 - about last year

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 1205883907 NPPES
Alaska MEDICAID 1003903

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