TRIBAL- ST. PAUL COMMUNITY HEALTH CENTER
NPI 1922405406
Clinic/Center - Multi-Specialty in St Paul, AK

NPI Status: Active since November 26, 2014

Contact Information

1000 POLOVINA TURNPIKE
ST PAUL, AK
ZIP 99660
Phone: (907) 546-8300

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  • Organization
  • Clinic/Center
  • Multi-Specialty
  • Accepts Insurance

About TRIBAL- ST. PAUL COMMUNITY HEALTH CENTER

This page provides the complete NPI Profile along with additional information for Tribal- St. Paul Community Health Center, a provider established in St Paul, Alaska operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1922405406 assigned on November 2014. The practitioner's primary taxonomy code is 261QM1300X with license number 20467 (AK). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Tribal- St. Paul Community Health Center. The authorized official of this NPI record is Ronald Lee Olson (Executive Vice President Finance)

NPI
1922405406
Provider Legal Name
SOUTHCENTRAL FOUNDATION
Other Organization Name
TRIBAL- ST. PAUL COMMUNITY HEALTH CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1000 POLOVINA TURNPIKE ST PAUL, AK 99660
Location Phone
(907) 546-8300
Mailing Address
PO BOX 35198 SEATTLE, WA 98124
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-26-2014
Last Update Date
09-18-2023
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities
License No.
20467
License State
AK

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RONALD LEE OLSON

Authorized Official Title
EXECUTIVE VICE PRESIDENT FINANCE
Authorized Official Phone
(907) 729-4939

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1627061MEDICAID (05)AK 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1922405406
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2942801040
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 4 + 2 + 8 + 0 + 1 + 0 + 4 + 0 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1922405406 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1902235187 CHERYL MELOVIDOV REGISTERED NURSE
Individual
Registered Nurse1000 POLOVINA TURNPIKE
SAINT PAUL ISLAND, AK 99660
(907) 546-8300
1316419096 CARA PAIGE ALEXANDRA LESTENKOF-MANDREGAN CHA-1
Individual
Community Health Worker1000 POLOVINA TURNPIKE
ST. PAUL ISLAND, AK 99660
(907) 546-8300
1124682091 AUBREY WEGELEBEN CDCI, ABHC
Individual
Counselor (Addiction (Substance Use Disorder))1000 POLOVINA TURNPIKE
SAINT PAUL, AK 99660
(907) 546-8300
1649916313 KAREN ANN PHILEMONOFF
Individual
Community Health Worker1000 POLOVINA TURNPIKE
ST PAUL, AK 99660
(907) 546-8300
1578184693MS. DESIREE LYNN HILBORN APRN, FNP-C
Individual
Nurse Practitioner (Family)1000 POLOVINA TURNPIKE
SAINT PAUL, AK 99660
(907) 546-8300
1922555820SOUTHCENTRAL FOUNDATION
Organization
Dentist (General Practice)1000 POLOVINA TURNPIKE
ST PAUL, AK 99660
(907) 546-8300
1669093837TRIBAL GOVERNMENT OF ST. PAUL ISLAND
Organization
Clinic/Center (Community Health)1000 POLOVINA TURNPIKE
ST. PAUL ISLAND, AK 99660
(907) 546-8301
1831596311SOUTHCENTRAL FOUNDATION
Organization
Community/Behavioral Health1000 POLOVINA TURNPIKE
ST PAUL, AK 99660
(907) 546-2310

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922405406, enumerated in the NPI registry as an "organization" on November 26, 2014

The provider is located at 1000 Polovina Turnpike St Paul, Ak 99660 and the phone number is (907) 546-8300

This medical organization specializes in Clinic/Center with taxonomy code 261QM1300X with a focus in Multi-Specialty

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska, Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on November 26, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.