Provider Demographics
NPI:1306933643
Name:ARCTIC SLOPE NATIVE ASSOCIATION LTD
Entity type:Organization
Organization Name:ARCTIC SLOPE NATIVE ASSOCIATION LTD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:REVENUE CYCLE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JAIME
Authorized Official - Middle Name:BRIANNE
Authorized Official - Last Name:BUCATCAT
Authorized Official - Suffix:
Authorized Official - Credentials:BAA
Authorized Official - Phone:907-852-9354
Mailing Address - Street 1:PO BOX 29
Mailing Address - Street 2:
Mailing Address - City:BARROW
Mailing Address - State:AK
Mailing Address - Zip Code:99723-0029
Mailing Address - Country:US
Mailing Address - Phone:907-852-9201
Mailing Address - Fax:907-852-9231
Practice Address - Street 1:7000 UULA STREET
Practice Address - Street 2:
Practice Address - City:BARROW
Practice Address - State:AK
Practice Address - Zip Code:99723
Practice Address - Country:US
Practice Address - Phone:907-852-9201
Practice Address - Fax:907-852-2016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-06
Last Update Date:2017-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
282NC0060X, 282NC0060X
AKHS23281P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
No281P00000XHospitalsChronic Disease Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
021312Medicare PIN
20227102271OtherPREMERA
AKHS23OPMedicaid
021312Medicare PIN
0006110180OtherAETNA