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FINAL PY 2019 ECP LIST
|
Ecp Reference Number
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Site Name
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Organization Name
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National Provider Identifier
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Ecp Category
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Site Street Address 1
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Site Street Address 2
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Site City
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Site State
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Site Zip Code
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Site County
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Org Street Address 1
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Org Street Address 2
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Org City
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Org State
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Org Zip Code
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Org County
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Poc 1 Name
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Poc 1 Title
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Url
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
|
AK-000002
|
Akhiok Village Clinic
|
KODIAK AREA NATIVE ASSOCIATION (KANA)
|
1205883907
|
Dental Providers, Federally Qualified Health Centers - Medical Services, Indian Health Service, Rural Health Clinics
|
3rd Ave
|
Akhiok
|
AK
|
99615
|
Kodiak Island
|
3449 East Rezanof Drive
|
Kodiak
|
AK
|
99615
|
Kodiak Island
|
Amy Durand
|
Grants Coordinator
|
907-486-9890
|
Andy Teuber
|
President/CEO
|
907-486-9800
|
|||||||
|
AK-000003
|
Yukon-Kuskokwim Health Corporation Akiachak Clinic
|
Yukon-Kuskokwim Health Corporation
|
1447477815
|
Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638
|
Main St
|
PO Box 51089
|
Akiachak
|
AK
|
99551-0089
|
Bethel
|
700 Chief Eddie Hoffman Hwy
|
PO Box 528
|
Bethel
|
AK
|
99559
|
Bethel
|
Rahnia Boyer
|
VP of Village Health
|
907-543-6240
|
||||||||
|
AK-000006
|
Yukon-Kuskokwim Health Corporation Alakanuk Clinic
|
YUKON-KUSKOKWIM HEALTH CORPORATION
|
1447477815
|
Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638
|
Anderson Street Clinic Drive
|
PO Box 288
|
Alakanuk
|
AK
|
99554-0288
|
Kusilvak
|
700 Chief Eddie Hoffman Hwy
|
PO Box 528
|
Bethel
|
AK
|
99559
|
Bethel
|
Rahnia Boyer
|
VP of Village Health
|
907-543-6240
|
||||||||
|
AK-000007
|
ALLAKAKET HEALTH CLINIC
|
Tanana Chiefs Conference (DENA' NENA' HENASH)
|
1821201278
|
Community Mental Health Centers, Dental Providers, Federally Qualified Health Centers - Medical Services, Indian Health Service, Rural Health Clinics, Tribal Health Program operated under P.L. 93-638
|
Koyokuk River Junction
|
Allakaket
|
AK
|
99720
|
Yukon Koyukuk
|
122 First Avenue, Suite 600
|
Fairbanks
|
AK
|
99701
|
Fairbanks North Star
|
Crystal L Stordahl
|
Director
|
907-452-8251
|
Victor Joseph
|
President/Chairman
|
907-452-8251
|
|||||||
|
AK-000008
|
SVT Health & Wellness
|
SELDOVIA VILLAGE TRIBE
|
1336178847
|
Federally Qualified Health Centers - Medical Services, Rural Health Clinics
|
34361 Old Sterling Hwy
|
Anchor Point
|
AK
|
99556-9500
|
Kenai Peninsula
|
880 E End Rd
|
Homer
|
AK
|
99603
|
Kenai Peninsula
|
Emily Read
|
SVTHW Director
|
907-226-2208
|
Uran Piedra
|
Tribal Controller
|
907-226-2228
|
686
|
||||||
|
AK-000013
|
Anchorage Health Center
|
Planned Parenthood of the Great Northwest and the Hawaiian Islands
|
1083700686
|
Family Planning Providers, Sexually Transmitted Disease Clinics
|
4001 Lake Otis Pkwy
|
Suite 101
|
Anchorage
|
AK
|
99508-5200
|
Anchorage
|
2001 E. Madison Street
|
Seattle
|
WA
|
98122
|
King
|
Scott Boyd
|
Chief Financial Officer
|
206-328-7731
|
Nika Graci
|
Federal Programs Administrator
|
208-893-6356
|
http://www.plannedparenthood.org/health-center/alaska/anchorage/99508/anchorage-health-center-3254-91810
|
|||||
|
AK-000014
|
Dena A Coy Residential
|
Southcentral Foundation
|
1184678559
|
Inpatient Hospitals (other than children's hospitals), Urban Indian Health Program
|
4130 San Ernesto Ave
|
Anchorage
|
AK
|
99508-2875
|
Anchorage
|
4501 Diplomacy Dr
|
Anchorage
|
AK
|
99508-5919
|
Anchorage
|
TAMARA BROWN
|
Director of Revenue Cycle
|
907-729-4552
|
Ronald L. Olson
|
VP Finance
|
907-729-4939
|
|||||||
|
AK-000015
|
Alaska Native Medical Center (inpatient hospital)
|
Alaska Native Tribal Health Consortium
|
1437368891
|
Indian Health Service, Inpatient Hospitals (other than children's hospitals), Tribal Health Program operated under P.L. 93-638
|
4315 Diplomacy Dr
|
Anchorage
|
AK
|
99508-5926
|
Anchorage
|
4000 Ambassador Dr
|
Anchorage
|
AK
|
99508
|
Anchorage
|
Roald Helgesen
|
CEO
|
907-729-2876
|
Jennifer Mitchell
|
Senior Director Revenue Cycle
|
907-729-1946
|
|||||||
|
AK-000016
|
Alaska Native Medical Center (multiple outpatient ECP categories)
|
Alaska Native Tribal Health Consortium
|
1437368891
|
Dental Providers, Family Planning Providers, Indian Health Service, Other ECP Providers, Ryan White Providers, Sexually Transmitted Disease Clinics, Tribal Health Program operated under P.L. 93-638
|
4315 Diplomacy Dr
|
Anchorage
|
AK
|
99508-5926
|
Anchorage
|
4000 Ambassador Dr
|
Anchorage
|
AK
|
99508
|
Anchorage
|
Roald Helgesen
|
CEO
|
907-729-2876
|
Jennifer Mitchell
|
Senior Director Revenue Cycle
|
907-729-1946
|
|||||||
|
AK-000017
|
Alaska Native Medical Center - Southcentral Foundation Clinics
|
Southcentral Foundation
|
1437189339
|
Other ECP Providers, Tribal Health Program operated under P.L. 93-638
|
4315 Diplomacy Dr
|
Anchorage
|
AK
|
99508-5926
|
Anchorage
|
4501 Diplomacy Dr
|
Anchorage
|
AK
|
99508-5919
|
Anchorage
|
Jim Lamb
|
Director of Revenue Cycle
|
907-729-5453
|
Ronald L. Olson
|
VP Finance
|
907-729-4939
|
|||||||
|
AK-000019
|
Anchorage Native Primary Care Center Behavioral Health Clinic
|
Southcentral Foundation
|
1124064894
|
Community Mental Health Centers, Tribal Health Program operated under P.L. 93-638
|
4320 Diplomacy Dr
|
Anchorage
|
AK
|
99508-5925
|
Anchorage
|
4501 Diplomacy Dr
|
Anchorage
|
AK
|
99508-5919
|
Anchorage
|
TAMARA BROWN
|
Director of Revenue Cycle
|
907-729-5525
|
Ronald L. Olson
|
VP Finance
|
907-729-4939
|
|||||||
|
AK-000021
|
SCF FIREWEED DENTAL CLINIC
|
SOUTHCENTRAL FOUNDATION DENTAL CLINICS
|
1861533408
|
Dental Providers
|
4341 Tudor Centre Dr
|
Fireweed Dental
|
Anchorage
|
AK
|
99508-5904
|
Anchorage
|
4501 Diplomacy Dr
|
Anchorage
|
AK
|
99508
|
Anchorage
|
KATHRYN SUZANNE MILLER CPC, CDC
|
PATIENT ACCOUNTS MANAGER
|
907-317-6070
|
JENNIFER WIESKAMP
|
PATIENT ACCOUNTS MANAGER
|
907-350-4810
|
||||||
|
AK-000024
|
SEARHC Jessie Norma Jim Health Center
|
Southeast Alaska Regional Health Consortium (SEARHC)
|
1215983945
|
Federally Qualified Health Centers - Medical Services, Indian Health Service, Tribal Health Program operated under P.L. 93-638
|
725 Relay Rd
|
Angoon
|
AK
|
99820
|
Hoonah Angoon
|
3100 Channel Drive
|
Suite 300
|
Juneau
|
AK
|
99801
|
Juneau
|
Rachel Stauffer
|
Patient Financial Services Manager
|
907-364-6644
|
www.searhc.org
|
||||||||
|
AK-000028
|
APIAI Atka Village Clinic
|
Aleutian Pribilof Islands Association, Inc. (APIAI)
|
1093939233
|
Federally Qualified Health Centers - Medical Services, Indian Health Service
|
900 A Health Ln
|
Atka
|
AK
|
99547
|
Aleutians West
|
1131 E International Airport Rd
|
Anchorage
|
AK
|
99518-1408
|
Aleutians West
|
Dimitri Philemonof
|
President/CEO
|
907-276-2700
|
Jessica Mata Rukovishnikoff
|
Primary Care Services Regional Administrator
|
907-276-2700
|
265
|
www.apiai.org
|
|||||
|
AK-000029
|
Yukon-Kuskokwim Health Corporation Atmautluak Clinic
|
Yukon-Kuskokwim Health Corporation
|
1447477815
|
Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638
|
101 Boardwalk Way
|
PO Box 6588
|
Atmautluak
|
AK
|
99559-6588
|
Bethel
|
700 Chief Eddie Hoffman Hwy
|
PO Box 528
|
Bethel
|
AK
|
99559
|
Bethel
|
Rahnia Boyer
|
VP of Village Health
|
907-543-6240
|
||||||||
|
AK-000032
|
BEAVER HEALTH CLINIC
|
COUNCIL OF ATHABASCAN TRIBAL GOVERNMENTS
|
1205027505
|
Community Mental Health Centers, Dental Providers, Federally Qualified Health Centers - Dental Services, Federally Qualified Health Centers - Medical Services, Rural Health Clinics, Sexually Transmitted Disease Clinics
|
101 Main St
|
Beaver
|
AK
|
99724
|
Yukon Koyukuk
|
3rd And Spruce St
|
Fort Yukon
|
AK
|
99740
|
Yukon Koyukuk
|
Joyce W Hughes
|
Grants/Contracts Manager
|
907-662-7527
|
527
|
Melinda L Peter
|
Health Director
|
907-662-7529
|
529
|
www.catg.org
|
||||
|
AK-000035
|
BETHEL FAMILY CLINIC
|
BETHEL FAMILY CLINIC
|
1124078019
|
Federally Qualified Health Centers - Medical Services
|
631 Main St
|
Bethel
|
AK
|
99559
|
Bethel
|
631 Main St
|
Bethel
|
AK
|
99559
|
Bethel
|
LaTesia Guinn
|
Executive Director
|
907-543-3773
|
907-543-3773
|
|||||||||
|
AK-000039
|
FRANK TOBUK SR. HEALTH CENTER
|
DENA' NENA' HENASH
|
1821201278
|
Dental Providers, Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638
|
1 Bettles Rd
|
Bettles
|
AK
|
99726
|
Yukon Koyukuk
|
122 1st Ave Ste 600
|
Fairbanks
|
AK
|
99701-4871
|
Fairbanks North Star
|
Crystal L Stordahl
|
Director
|
907-452-8251
|
Victor Joseph
|
President/CEO
|
907-452-8251
|
|||||||
|
AK-000042
|
Chugachmiut Chenega Bay Clinic
|
Chugachmiut Association
|
1700057676
|
Community Mental Health Centers, Indian Health Service, Rural Health Clinics
|
625 Main St
|
Chenega Bay
|
AK
|
99574
|
Valdez Cordova
|
1840 Bragaw St Ste 110
|
Anchorage
|
AK
|
99508-3463
|
Anchorage
|
Kelley Baker
|
Health Division Director
|
907-441-8565
|
Jan Vanderpool
|
Executive Director
|
907-562-4155
|
www.chugachmiut,org
|
||||||
|
AK-000047
|
Chistochina Clinic
|
Mt. Sanford Tribal Consortium
|
1609990670
|
Rural Health Clinics, Tribal Health Program operated under P.L. 93-638
|
Mile Post 34.5 Tok Cut Off Highway
|
Chistochina
|
AK
|
99586
|
Valdez Cordova
|
P.O. Box 357
|
Gakona
|
AK
|
99586
|
Valdez Cordova
|
George Drinkwater
|
Health Services Director
|
907-259-4498
|
Evelyn Beeter
|
President / CEO
|
907-822-5399
|
302
|
||||||
|
AK-000048
|
CIRCLE VILLAGE CLINIC
|
DENA' NENA' HENASH
|
1821201278
|
Dental Providers, Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638
|
161 Steese Hwy
|
Circle
|
AK
|
99733-9800
|
Yukon Koyukuk
|
122 1st Ave
|
Fairbanks
|
AK
|
99701
|
Fairbanks North Star
|
Crystal Stordahl
|
Director
|
907-452-8251
|
Victor Joseph
|
President/CEO
|
907-452-8251
|
|||||||
|
AK-000049
|
BBAHC Clarks Point Clinic
|
Bristol Bay Area Health Corporation (BBAHC)
|
1922160464
|
Dental Providers, Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638, Urban Indian Health Program
|
Main St
|
Clarks Point
|
AK
|
99569
|
Dillingham
|
PO Box 130
|
Dillingham
|
AK
|
99576-0130
|
Dillingham
|
Robert J. Clark
|
President/CEO
|
907-842-5201
|
6400
|
Brandy Jensen
|
Revenue Cycle Manager
|
907-842-9394
|
9394
|
|||||
|
AK-000056
|
Interior Alaska Medical Clinic
|
CROSS ROAD MEDICAL CENTER
|
1346677754
|
Federally Qualified Health Centers - Medical Services
|
2730 Alaska Hwy
|
Delta Junction
|
AK
|
99737
|
Southeast Fairbanks
|
Mile 187 Glenn Hwy
|
Glennallen
|
AK
|
99588
|
Valdez Cordova
|
Susan Sura
|
Grants Manager
|
907-822-5686
|
Joel Medendorp
|
CEO
|
907-822-5686
|
23
|
www.crossroadmc.org
|
|||||
|
AK-000058
|
Kanakanak Hospital Outpatient
|
Bristol Bay Area Health Corporation
|
1831270842
|
Dental Providers, Indian Health Service, Other ECP Providers, Outpatient Hospital Clinics, Tribal Health Program operated under P.L. 93-638, Urban Indian Health Program
|
6000 Kanakanak Rd
|
Dillingham
|
AK
|
99576-0130
|
Dillingham
|
PO Box 130
|
Dillingham
|
AK
|
99576-0130
|
Dillingham
|
Robert J Clark
|
President/CEO
|
907-842-5201
|
6400
|
Brandy M Jensen
|
Revenue Cycle Manager
|
907-842-9394
|
6394
|
|||||
|
AK-000063
|
BBAHC Egegik Clinic
|
Bristol Bay Area Health Corporation (BBAHC)
|
1699836007
|
Dental Providers, Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638, Urban Indian Health Program
|
Main St
|
Egegik
|
AK
|
99579
|
Lake and Peninsula
|
PO Box 130
|
Dillingham
|
AK
|
99576-0130
|
Dillingham
|
Robert J. Clark
|
President/CEO
|
907-842-5201
|
6400
|
Brandy Jensen
|
Revenue Cycle Manager
|
907-842-9394
|
6394
|
|||||
|
AK-000064
|
BBAHC Ekwok Clinic
|
Bristol Bay Area Health Corporation (BBAHC)
|
1104988799
|
Dental Providers, Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638, Urban Indian Health Program
|
Main St
|
Ekwok
|
AK
|
99580
|
Dillingham
|
PO Box 130
|
Dillingham
|
AK
|
99576-0130
|
Dillingham
|
Robert J. Clark
|
President/CEO
|
907-842-5201
|
6400
|
Brandy Jensen
|
Revenue Cycle Manager
|
907-842-9394
|
6394
|
|||||
|
AK-000065
|
EMMONAK SUB-REGIONAL CLINIC
|
YUKON-KUSKOKWIM HEALTH CORPORATION
|
1124201199
|
Federally Qualified Health Centers - Medical Services
|
215 Kwiguk St
|
PO Box 246
|
Emmonak
|
AK
|
99581-0246
|
Kusilvak
|
700 Chief Eddie Hoffman Hwy
|
PO Box 528
|
Bethel
|
AK
|
99559
|
Bethel
|
Susan Hoeldt
|
SRC Administrator
|
907-675-4556
|
Rahnia Boyer
|
VP of Village Health
|
907-543-6240
|
|||||
|
AK-000068
|
INTERIOR COMMUNITY HEALTH CENTER
|
INTERIOR COMMUNITY HEALTH CENTER
|
1588739015
|
Dental Providers, Federally Qualified Health Centers - Medical Services
|
1606 23rd Ave
|
Fairbanks
|
AK
|
99701-6407
|
Fairbanks North Star
|
1606 23rd Ave
|
Fairbanks
|
AK
|
99701-6407
|
Fairbanks North Star
|
Thomas Martin
|
CFO
|
907-455-4567
|
907-455-4567
|
|||||||||
|
AK-000070
|
Fairbanks Health Center
|
Planned Parenthood of the Great Northwest and the Hawaiian Islands
|
1083700686
|
Family Planning Providers, Sexually Transmitted Disease Clinics
|
1867 Airport Way
|
Suite 160B
|
Fairbanks
|
AK
|
99701-4062
|
Fairbanks North Star
|
2001 E. Madison Street
|
Seattle
|
WA
|
98122
|
King
|
Scott Boyd
|
Chief Financial Officer
|
206-328-7731
|
Nika Graci
|
Federal Programs Administrator
|
208-893-6356
|
http://www.plannedparenthood.org/health-center/alaska/fairbanks/99701/fairbanks-health-center-2603-91810
|
|||||
|
AK-000084
|
Kachemak Bay Family Planning Clinic
|
Kachemak Bay Family Planning Clinic
|
1477684561
|
Family Planning Providers, Sexually Transmitted Disease Clinics
|
3959 Ben Walters Ln
|
Homer
|
AK
|
99603-7707
|
Kenai Peninsula
|
3959 Ben Walters Ln
|
Homer
|
AK
|
99603
|
Kenai Peninsula
|
Catriona Reynolds
|
Interim Executive Director
|
907-235-3436
|
Catriona Reynolds
|
Clinic Manager
|
907-235-3436
|
http://kbfpc.org/
|
||||||
|
AK-000089
|
Rose Ambrose Health Clinic
|
DENA' NENA' HENASH
|
1821201278
|
Dental Providers, Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638
|
166 Spring Camp Rd
|
Huslia
|
AK
|
99746
|
Yukon Koyukuk
|
122 1st Ave Ste 600
|
Fairbanks
|
AK
|
99701-4871
|
Fairbanks North Star
|
Crystal L Stordahl
|
Director
|
907-452-8251
|
Victor Joseph
|
President/CEO
|
907-452-8251
|
|||||||
|
AK-000092
|
NILAVENA SUBREGIONAL CLINIC
|
Southcentral Foundation
|
1912954272
|
Rural Health Clinics, Tribal Health Program operated under P.L. 93-638
|
101 Airport Rd
|
Iliamna
|
AK
|
99606
|
Lake and Peninsula
|
4501 Diplomacy Dr
|
Anchorage
|
AK
|
99508-5919
|
Anchorage
|
Jim Lamb
|
Director of Revenue Cycle
|
907-729-5453
|
Ronald L. Olson
|
VP Finance
|
907-729-4939
|
|||||||
|
AK-000093
|
SEARHC Ethal Lund Medical Center
|
Southeast Alaska Regional Health Consortium (SEARHC)
|
1942284765
|
Dental Providers, Other ECP Providers, Tribal Health Program operated under P.L. 93-638, Urban Indian Health Program
|
1200 Salmon Creek Ln
|
Juneau
|
AK
|
99801-7861
|
Juneau
|
3100 Channel Drive
|
Suite 300
|
Juneau
|
AK
|
99801-7809
|
Juneau
|
Rachel Stauffer
|
Patient Finanical Services Manager
|
907-364-6644
|
www.searhc.org
|
||||||||
|
AK-000096
|
Bartlett Regional Hospital
|
Bartlett Regional Hospital
|
1891849261
|
Inpatient Hospitals (other than children's hospitals)
|
3260 Hospital Dr
|
Juneau
|
AK
|
99801-7808
|
Juneau
|
3260 Hospital Drive
|
Juneau
|
AK
|
99801
|
Juneau
|
Alan C Ulrich
|
Chief Financial Officer
|
907-796-8402
|
Chuck Bill
|
Chief Executive officer
|
907-796-8438
|
www.bartletthospital.org
|
||||||
|
AK-000097
|
SEARHC Kake Health Center
|
Southeast Alaska Regional Health Consortium (SEARHC)
|
1114973849
|
Federally Qualified Health Centers - Medical Services, Indian Health Service, Tribal Health Program operated under P.L. 93-638
|
105 Totem Way
|
Kake
|
AK
|
99830
|
Petersburg
|
3100 Channel Drive
|
Suite 300
|
Juneau
|
AK
|
99801-7809
|
Juneau
|
Rachel Stauffer
|
Patient Financial Services Manager
|
907-364-6644
|
6644
|
www.searhc.org
|
|||||||
|
AK-000098
|
YUKON-KUSKOKWIM HEALTH CORPORATION UPPER KALSKAG CLINIC
|
YUKON-KUSKOKWIM HEALTH CORPORATION
|
1447477815
|
Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638
|
Lot 3 Block 11 Tract C
|
PO Box 9
|
Kalskag
|
AK
|
99607-0009
|
Bethel
|
700 Chief Eddie Hoffman Hwy
|
PO Box 528
|
Bethel
|
AK
|
99559
|
Bethel
|
Rahnia Boyer
|
VP of Village Health
|
907-543-6240
|
||||||||
|
AK-000101
|
SEARHC Kasaan Health Center
|
Southeast Alaska Regional Health Consortium (SEARHC)
|
1962616821
|
Federally Qualified Health Centers - Medical Services, Tribal Health Program operated under P.L. 93-638, Urban Indian Health Program
|
First And Jones
|
Kasaan
|
AK
|
99950
|
Ketchikan Gateway
|
3100 Channel Drive
|
Suite 300
|
Juneau
|
AK
|
99801-7809
|
Juneau
|
Rachel Stauffer
|
Patient Finanical Services Manager
|
907-364-6644
|
www.searhc.org
|
||||||||
|
AK-000104
|
Dena'ina Health Center (Kenai)
|
Kenaitze Indian Tribe (KIT)
|
1932114600
|
Dental Providers, Family Planning Providers, Indian Health Service, Tribal Health Program operated under P.L. 93-638
|
508 Upland St
|
Kenai
|
AK
|
99611-8026
|
Kenai Peninsula
|
PO Box 988
|
Kenai
|
AK
|
99611-0988
|
Kenai Peninsula
|
John Molina, MD, JD
|
Health Systems DIrector
|
907-335-7566
|
Misa Pham
|
Healthcare Revenue Cycle Administrator
|
907-335-7560
|
|||||||
|
AK-000106
|
Ketchikan Indian Community
|
KIC Tribal Health
|
1043533946
|
Dental Providers, Family Planning Providers, Federally Qualified Health Centers - Medical Services, Indian Health Service, Tribal Health Program operated under P.L. 93-638
|
2960 Tongass Ave
|
Ketchikan
|
AK
|
99901-5742
|
Ketchikan Gateway
|
2960 Tongass Ave
|
Ketchikan
|
AK
|
99901
|
Ketchikan Gateway
|
John R Reeves III
|
Health Administrator
|
907-228-9264
|
9264
|
Arlene Dilts Jackson
|
Tribal Administrator
|
907-228-9299
|
9299
|
|||||
|
AK-000107
|
KING COVE CLINIC
|
EASTERN ALEUTIAN TRIBES, INC.
|
1649332446
|
Community Mental Health Centers, Dental Providers, Family Planning Providers, Federally Qualified Health Centers - Medical Services, Rural Health Clinics, Ryan White Providers, Tribal Health Program operated under P.L. 93-638
|
100 Slocum Dr
|
King Cove
|
AK
|
99612
|
Aleutians East
|
3380 C St Ste 100
|
Anchorage
|
AK
|
99503-3949
|
Aleutians East
|
Jennifer Smith
|
Executive Director
|
907-277-1440
|
Edgar Smith
|
Director of Operations
|
907-277-1440
|
www.eatribes.org
|
||||||
|
AK-000109
|
Yukon-Kuskokwim Health Corporation Kipnuk Clinic
|
Yukon-Kuskokwim Health Corporation
|
1447477815
|
Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638
|
101 Council Drive
|
PO Box 183
|
Kipnuk
|
AK
|
99614-0183
|
Bethel
|
700 Chief Eddie Hoffman Hwy
|
PO Box 528
|
Bethel
|
AK
|
99559
|
Bethel
|
Rahnia Boyer
|
VP of Village Health
|
907-543-6240
|
||||||||
|
AK-000112
|
Kodiak Community Health Center
|
Kodiak Island Health Care Foundation
|
1326047044
|
Dental Providers, Family Planning Providers, Federally Qualified Health Centers - Medical Services
|
1911 E Rezanof Dr
|
Kodiak
|
AK
|
99615-6602
|
Kodiak Island
|
1911 E. Rezanof Drive
|
Kodiak
|
AK
|
99615
|
Kodiak Island
|
Judy C Rathje
|
Executive Director
|
907-481-5000
|
5005
|
Maggie Nevin
|
Operations Director
|
907-481-5000
|
5006
|
|||||
|
AK-000113
|
KANA (Mill Bay Health Clinic)
|
KODIAK AREA NATIVE ASSOCIATION (KANA)
|
1205883907
|
Dental Providers, Federally Qualified Health Centers - Medical Services, Indian Health Service, Rural Health Clinics
|
2414 Mill Bay Rd
|
Kodiak
|
AK
|
99615-6654
|
Kodiak Island
|
3449 East Rezanof Drive
|
Kodiak
|
AK
|
99615
|
Kodiak Island
|
Amy Durand
|
Grants Coordinator
|
907-486-9890
|
Andy Teuber
|
President/CEO
|
907-486-9800
|
|||||||
|
AK-000115
|
Kokhanok Clinic
|
Southcentral Foundation
|
1043689169
|
Rural Health Clinics, Tribal Health Program operated under P.L. 93-638
|
1008 Main St
|
Kokhanok
|
AK
|
99606
|
Lake and Peninsula
|
4501 Diplomacy Dr
|
Anchorage
|
AK
|
99508-5919
|
Anchorage
|
TAMARA BROWN
|
Director of Revenue Cycle
|
907-729-5225
|
Ronald L. Olson
|
VP Finance
|
907-729-4939
|
|||||||
|
AK-000123
|
Yukon-Kuskokwim Health Corporation Kwigillingok Clinic
|
Yukon-Kuskokwim Health Corporation
|
1447477815
|
Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638
|
69 North Main St
|
PO Box 69
|
Kwigillingok
|
AK
|
99622-0069
|
Bethel
|
700 Chief Eddie Hoffman Hwy
|
PO Box 528
|
Bethel
|
AK
|
99559
|
Bethel
|
Rahnia Boyer
|
VP of Village Health
|
907-543-6240
|
||||||||
|
AK-000124
|
Larsen Bay Health Clinic
|
KODIAK AREA NATIVE ASSOCIATION (KANA)
|
1205883907
|
Dental Providers, Federally Qualified Health Centers - Medical Services, Indian Health Service, Rural Health Clinics
|
3rd St
|
Larsen Bay
|
AK
|
99624
|
Kodiak Island
|
3449 Rezanof Dr E
|
Kodiak
|
AK
|
99615-6952
|
Kodiak Island
|
Amy Durand
|
Grants Coordinator
|
907-486-9890
|
Andy Teuber
|
President/CEO
|
907-486-9800
|
|||||||
|
AK-000127
|
YUKON-KUSKOKWIM HEALTH CORPORATION LOWER KALSKAG CLINIC
|
YUKON-KUSKOKWIM HEALTH CORPORATION
|
1447477815
|
Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638
|
Church Road 1
|
PO Box 9
|
Lower Kalskag
|
AK
|
99626-0009
|
Bethel
|
700 Chief Eddie Hoffman Hwy
|
PO Box 528
|
Bethel
|
AK
|
99559
|
Bethel
|
Rahnia Boyer
|
VP of Village Health
|
907-543-6240
|
||||||||
|
AK-000129
|
BBAHC Manokotak Clinic
|
Bristol Bay Area Health Corporation (BBAHC)
|
1740340991
|
Dental Providers, Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638, Urban Indian Health Program
|
Main St
|
Manokotak
|
AK
|
99628
|
Dillingham
|
PO Box 130
|
Dillingham
|
AK
|
99576-0130
|
Dillingham
|
Robert Clark
|
President/CEO
|
907-842-5201
|
6400
|
Brandy Jensen
|
Revenue Cycle Manager
|
907-842-9394
|
6394
|
|||||
|
AK-000130
|
YUKON-KUSKOKWIM HEALTH CORPORATION MARSHAL CLINIC
|
YUKON-KUSKOKWIM HEALTH CORPORATION
|
1447477815
|
Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638
|
1305 Allman Ave
|
PO Box 10
|
Marshall
|
AK
|
99585-0010
|
Kusilvak
|
700 Chief Eddie Hoffman Hwy
|
PO Box 528
|
Bethel
|
AK
|
99559
|
Bethel
|
Rahnia Boyer
|
VP of Village Health
|
907-543-6240
|
||||||||
|
AK-000132
|
YUKON-KUSKOKWIM HEALTH CORPORATION MEKORYUK CLINIC
|
YUKON-KUSKOKWIM HEALTH CORPORATION
|
1447477815
|
Indian Health Service, Other ECP Providers, Tribal Health Program operated under P.L. 93-638
|
43 Airport Rd
|
PO Box 43
|
Mekoryuk
|
AK
|
99630-0043
|
Bethel
|
700 Chief Eddie Hoffman Hwy
|
PO Box 528
|
Bethel
|
AK
|
99559
|
Bethel
|
Rahnia Boyer
|
VP of Village Health
|
907-543-6240
|
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