Healthcare Provider Details

I. General information

NPI: 1184536591
Provider Name (Legal Business Name): ALASKA NATIVE TRIBAL HEALTH CONSORTIUM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4001 AMBASSADOR DR
ANCHORAGE AK
99508-5928
US

IV. Provider business mailing address

PO BOX 35145 DEPT 196678
SEATTLE WA
98124-5145
US

V. Phone/Fax

Practice location:
  • Phone: 907-729-1900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY WHEELER
Title or Position: PROVIDER ENROLLMENT
Credential:
Phone: 907-729-8319