Organization · Type 2 NPI

Ninilchik Village

Community Health Clinic/Center · Ninilchik, AK

NPI number 1609093723 Active

Practice location

15765 Kingsley Road
Ninilchik, AK 99639-9759

Call (907) 567-3970 Map

Fax (907) 567-3948

Mailing address

PO Box 39368
Ninilchik, AK 99639-0368

Specialties and licenses

Taxonomy	Code	License
Community Health Clinic/Center Primary	261QC1500X	296082 (AK)

Community Health Clinic/Center: Definition to come...

4 other providers at this address

Carrie Ann Warren, FNPFamily Nurse Practitioner Ninilchik, AK NPI 1669783676
Helena Mary Lois Bock, COMMUNITY HEALTH AIDCommunity Health Clinic/Center Ninilchik, AK NPI 1457610230
Judith Annette HubbardAddiction (Substance Use Disorder) Counselor Ninilchik, AK NPI 1194388686
Mary Ellen Doty, N.P.Nurse Practitioner Ninilchik, AK NPI 1215155213

NPI record

NPI: 1609093723
Entity type: Organization (Type 2)
Issued: Apr 19, 2007
Last updated: Oct 15, 2025
Status: Active

Other names

<unavail>
NTC Community Clinic · doing business as
Ninilchik Community Clinic · other name
Ninilchik Community Clinic · other name

Authorized official

Mr. Ivan Zane Encelewski
Executive Director
(907) 567-3313

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1609093723

Ninilchik Village's National Provider Identifier is 1609093723, issued on Apr 19, 2007. The primary taxonomy on file is Community Health Clinic/Center (261QC1500X), and the practice location is in Ninilchik, AK. The record was last updated on Oct 15, 2025.