Healthcare Provider Details

I. General information

NPI: 1609719673
Provider Name (Legal Business Name): ST MARYS SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 DIXON CIRCLE
SAINT MARY'S AK
99658
US

IV. Provider business mailing address

PO BOX 9
SAINT MARYS AK
99658-0009
US

V. Phone/Fax

Practice location:
  • Phone: 907-438-2411
  • Fax:
Mailing address:
  • Phone: 907-438-2411
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: MR. TROY L POAGE
Title or Position: SUPERINTENDENT
Credential:
Phone: 907-438-6698