Organization · Type 2 NPI

Kenaitze Indian Tribe

Federally Qualified Health Center (FQHC) · Kenai, AK

NPI number 1053293878 Active

Practice location

12271 South Forest Drive
Kenai, AK 99611

Mailing address

PO Box 988
Kenai, AK 99611-0988

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor 101YM0800XNone listed
School Registered Nurse 163WS0200XNone listed
Speech-Language Pathologist 235Z00000XNone listed
Community/Behavioral Health Agency 251S00000XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed
Adolescent and Children Mental Health Clinic/Center 261QM0855XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1053293878

Kenaitze Indian Tribe's National Provider Identifier is 1053293878, issued on Jul 23, 2025. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Kenai, AK. The record was last updated on Jul 30, 2025.