<Unavail>
LBN: Kenaitze Indian Tribe
<Unavail> is an health care organization with primary practice located at 12271 South Forest Drive , Kenai AK 99611. The organization recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Nursing Service Providers / School, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Kenaitze Indian Tribe can be contacted via phone (907) 335-7636, or through Burnett, Greg via phone (907) 335-7635.
Contact Information
Primary practice address
12271 South Forest Drive
Kenai AK 99611
Phone: (907) 335-7636
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Nursing Service Providers / School | 163WS0200X | ||
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | ||
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | ||
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X |
Profile Details
| NPI number | 1053293878 |
|---|---|
| LBN Legal business name | Kenaitze Indian Tribe |
| DBA Doing business as | <Unavail> |
| Authorized official | Burnett, Greg |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jul 23rd, 2025 |
| Last updated | Jul 30th, 2025 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053293878 | NPPES |
| Alaska | MEDICAID | 1000870 | |
| Alaska | MEDICAID | 1021034 |
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