Organization
KENAITZE INDIAN TRIBE
Active
Organization
KENAITZE INDIAN TRIBE
Active
Parent organization
KENAITZE INDIAN TRIBE
Other names
Dena'ina Wellness Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
KENAITZE INDIAN TRIBE
Authorized official
GREG BURNETT (FINANCE DIRECTOR)
(907) 335-7200
Entity
Organization
Contact information
Practice address
508 UPLAND ST, KENAI, AK 99611-8026
(907) 335-7550
(888) 491-3360
Mailing address
PO BOX 988, KENAI, AK 99611-0988
(907) 335-7550
(888) 491-3360
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
MD2004
AK
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CL9243
—
AK
Enumeration date
07/30/2006
Last updated
08/13/2025
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