# NINILCHIK VILLAGE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ninilchik Community Clinic, NTC Community Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609093723
- **Authorized official:** MR. IVAN ZANE ENCELEWSKI (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (907) 567-3313

## Contact information

- **Practice address:** 15765 KINGSLEY ROAD, NINILCHIK, AK 99639-9759
- **Practice address phone:** (907) 567-3970
- **Practice address fax:** (907) 567-3948
- **Mailing address:** PO BOX 39368, NINILCHIK, AK 99639-0368
- **Mailing address phone:** (907) 567-3970
- **Mailing address fax:** (833) 438-1910

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | 296082 | AK | Yes |

## Other

- **Enumeration date:** 04/19/2007
- **Last updated:** 10/15/2025