| Seldovia Village Tribe | |
|
880 E End Rd Homer AK 99603-7201 | |
| (907) 226-2228 | |
| (907) 226-2230 |
| Full Name | Seldovia Village Tribe |
|---|---|
| Speciality | Clinic/Center |
| Location | 880 E End Rd, Homer, Alaska |
| Authorized Official Name and Position | Emily Read (SVTHW DIRECTOR) |
| Authorized Official Contact | 9072262208 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seldovia Village Tribe 880 E End Rd Homer AK 99603-7201 Ph: (907) 226-2228 | Seldovia Village Tribe 880 E End Rd Homer AK 99603-7201 Ph: (907) 226-2228 |
| NPI Number | 1336178847 |
|---|---|
| Provider Enumeration Date | 06/30/2006 |
| Last Update Date | 12/23/2019 |
| Medicare PECOS PAC ID | 8820072200 |
|---|---|
| Medicare Enrollment ID | O20040614001701 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336178847 | NPI | - | NPPES |
| 1000849 | Medicaid | AK | |
| 1003814 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Sarah A Stienbarger |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427150549 PECOS PAC ID: 9931153327 Enrollment ID: I20050309000155 |
| Provider Name | Patricia Delate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629081393 PECOS PAC ID: 7719920594 Enrollment ID: I20050602000621 |
| Provider Name | Melissa A Bunker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164575452 PECOS PAC ID: 4486753779 Enrollment ID: I20070627000540 |
| Provider Name | Frances L Stier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659355675 PECOS PAC ID: 1456372192 Enrollment ID: I20110926000844 |
| Provider Name | Christine S Brubaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194158774 PECOS PAC ID: 4486882289 Enrollment ID: I20150313001080 |
| Provider Name | Carey Brent Gear |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710095914 PECOS PAC ID: 2466484571 Enrollment ID: I20171010001668 |
| Provider Name | Eva L Michels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104134089 PECOS PAC ID: 2466639067 Enrollment ID: I20171019000879 |
| Provider Name | Teresa Lyons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043524218 PECOS PAC ID: 8820260847 Enrollment ID: I20180614003034 |
| Provider Name | Gayle Darlene Claus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013245794 PECOS PAC ID: 5395888234 Enrollment ID: I20190206000443 |
| Provider Name | Tarah Ruth Desatoff |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497317168 PECOS PAC ID: 1557698511 Enrollment ID: I20190814000048 |
| Provider Name | Colette Whelan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497933329 PECOS PAC ID: 7618308057 Enrollment ID: I20200519000731 |
| Provider Name | Jennifer A Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821644808 PECOS PAC ID: 4587085766 Enrollment ID: I20200526000268 |
| Provider Name | Kourtney Holder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447782529 PECOS PAC ID: 0244500684 Enrollment ID: I20200901000057 |
| Provider Name | Julia Drude |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780098095 PECOS PAC ID: 3870835002 Enrollment ID: I20201204001791 |
| Provider Name | Michael Patrick Reddy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063080372 PECOS PAC ID: 9739586595 Enrollment ID: I20210921001662 |
| Provider Name | Sharon Geraghty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881239259 PECOS PAC ID: 0749685329 Enrollment ID: I20220228000066 |
| Provider Name | Alexandria Lopez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548674161 PECOS PAC ID: 9133550098 Enrollment ID: I20221101002156 |
| Provider Name | Amy Michelle Deloach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568922078 PECOS PAC ID: 4587056494 Enrollment ID: I20231018000134 |
| Provider Name | Loretta B Charles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912341306 PECOS PAC ID: 0446474811 Enrollment ID: I20231214000153 |
Edward B Todd Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3732 Ben Walters Ln, Homer, AK 99603 Phone: 907-235-8574 | |
James Bourne Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3732 Ben Walters Ln, Homer, AK 99603 Phone: 907-235-8574 Fax: 907-235-7593 | |
Anne C Adamson Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4014 Lake St Ste 210, Homer, AK 99603 Phone: 907-235-7585 | |
Richardson Dmd, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 412 E Pioneer Ave, Suite #2, Homer, AK 99603 Phone: 907-226-2218 | |
Premium Aspect Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 345 Sterling Hwy, Suite 102a, Homer, AK 99603 Phone: 907-235-3618 Fax: 907-235-6849 | |
Preventive Dental Services, A Professional Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 549 Grubstake Ave, Suite #a, Homer, AK 99603 Phone: 907-235-1286 Fax: 907-235-1263 |